| Tadeusz Ciszak, MD | |
|
1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | |
| (863) 688-2334 | |
| Not Available |
| Full Name | Tadeusz Ciszak |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 1305 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427493931 | NPI | - | NPPES |
| 100079591 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 13521 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME140982 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist St Anthony's Hospital | Amarillo, TX | Hospital |
| Memorial University Medical Center | Savannah, GA | Hospital |
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Glen Rose Medical Center | Glen rose, TX | Hospital |
| Childress Regional Medical Center | Childress, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| High Plains Radiological Assoc Llp | 9739172479 | 31 |
| Open Air Imaging Center, Llp | 9739258310 | 25 |
| Premier Radiology Wisconsin Llc | 9537595533 | 72 |
| Entity Name | Southwest Medical Imaging Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538134788 PECOS PAC ID: 4688564586 Enrollment ID: O20040316000716 |
| Entity Name | High Plains Radiological Assoc Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205897360 PECOS PAC ID: 9739172479 Enrollment ID: O20080102000290 |
| Entity Name | Open Air Imaging Center, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609982131 PECOS PAC ID: 9739258310 Enrollment ID: O20080522000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Tadeusz Ciszak, MD 1364 Clifton Rd Ne, Room D125a, Atlanta, GA 30322-1059 Ph: (404) 712-4686 | Tadeusz Ciszak, MD 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 Ph: (863) 688-2334 |
Dr. Kevin James Sawyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2125 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 | |
Dr. Yelena Kozirovsky, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Dr. Michael Larone Campbell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-2334 | |
Michael K Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2115 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 Fax: 863-577-0303 | |
Devashri Patel, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-2334 | |
Jaehoon Bang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Dr. Alexandra Osorio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 |