| Thomas Thallner Bomberger, | |
|
3300 Gallows Rd, Falls Church, VA 22042-3307 | |
| (703) 698-4444 | |
| Not Available |
| Full Name | Thomas Thallner Bomberger |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 7 Years |
| Location | 3300 Gallows Rd, Falls Church, Virginia |
| 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 |
|---|---|---|---|
| 1013411339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101280363 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Inova Loudoun Hospital | Leesburg, VA | Hospital |
| Inova Alexandria Hospital | Alexandria, VA | Hospital |
| Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
| Inova Mount Vernon Hospital | Alexandria, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ifrc Llc | 2961829882 | 105 |
| Fairfax Radiological Consultants Pc | 8628970324 | 123 |
| Inova Reston Mri Center Llc | 2961540042 | 80 |
| Ifrc Llc | 2961829882 | 105 |
| Fairfax Radiological Consultants Pc | 8628970324 | 123 |
| Entity Name | Fairfax Radiological Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114902509 PECOS PAC ID: 8628970324 Enrollment ID: O20040123000043 |
| Entity Name | Ifrc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508405317 PECOS PAC ID: 2961829882 Enrollment ID: O20200824002339 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Thallner Bomberger, 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: () - | Thomas Thallner Bomberger, 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 698-4444 |
Elizabeth Horneber, Radiology Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-698-4444 | |
Hamza Alim Shaikh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-698-4444 | |
Dr. Karin M Antevil, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7799 Leesburg Pike, Suite 1000n, Falls Church, VA 22043 Phone: 757-752-0523 Fax: 703-667-8601 | |
James Mceachern, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 | |
Lin Luo, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 | |
Dr. Patricia Ann Watkis, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 201 N Washington St, Kaiser Permanente Falls Church Medical Center, Falls Church, VA 22046 Phone: 703-237-4000 |