| Thaddeus Drexel Houston, MD | |
|
1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | |
| (336) 274-6682 | |
| (336) 274-8097 |
| Full Name | Thaddeus Drexel Houston |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 1331 N Elm St Ste 200, Greensboro, North Carolina |
| 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 |
|---|---|---|---|
| 1003844101 | NPI | - | NPPES |
| 7745055200 | Medicaid | MD | |
| 1570N | Other | NC | BCBS-NC |
| 5914660 | Medicaid | NC |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cone Health | Greensboro, NC | Hospital |
| Alamance Regional Medical Center | Burlington, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greensboro Radiology Pa | 8729074901 | 236 |
| Diagnostic Radiology And Imaging Llc | 4183517097 | 87 |
| Entity Name | Diagnostic Radiology & Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265469795 PECOS PAC ID: 4183517097 Enrollment ID: O20040204001013 |
| Entity Name | Greensboro Radiology, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20040422001214 |
| Entity Name | Imrad of Virginia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457816522 PECOS PAC ID: 2860726981 Enrollment ID: O20200928003184 |
| Mailing Address | Practice Location Address |
|---|---|
| Thaddeus Drexel Houston, MD Po Box 85378, Chicago, IL 60689-5378 Ph: (336) 274-6682 | Thaddeus Drexel Houston, MD 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 Ph: (336) 274-6682 |
Melinda Ann Blietz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-6682 Fax: 336-274-8097 |
Raymond Charles Rubner Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 |
Dr. David Sung Kwon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 |
James Judd Green Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-6682 Fax: 336-274-8097 |
Dr. Paul Douglas Barry, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1331 North Elm Street, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 |
Stacy Wentworth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 N. Elam Avenue, Greensboro, NC 27403 Phone: 336-832-1100 |
John Allen Stahl, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-6682 Fax: 336-274-8097 |