| Timothy Jon Rolle, MD | |
|
8020 Constitution Pl Ne, Suite 202, Albuquerque, NM 87110-7607 | |
| (505) 998-3096 | |
| (505) 998-3100 |
| Full Name | Timothy Jon Rolle |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 8020 Constitution Pl Ne, Albuquerque, New Mexico |
| 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 |
|---|---|---|---|
| 1205071065 | NPI | - | NPPES |
| 539599YN90 | Other | NM | MEDICARE PTAN |
| 539599YLGQ | Other | NM | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD2016-0801 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Ssm Health Monroe Hospital | Monroe, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| Reedsburg Area Medical Center | Reedsburg, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Madison Radiologists S C | 1951209311 | 58 |
| Commonwealth Healthcare Corporation | 7719075167 | 79 |
| Dean Health Systems Inc | 7012827983 | 1174 |
| Madison Radiologists S C | 1951209311 | 58 |
| Entity Name | Madison Radiologists S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871573725 PECOS PAC ID: 1951209311 Enrollment ID: O20250124002647 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Jon Rolle, MD 5344 S Arabian Dr, Sierra Vista, AZ 85650-9199 Ph: (705) 764-4102 | Timothy Jon Rolle, MD 8020 Constitution Pl Ne, Suite 202, Albuquerque, NM 87110-7607 Ph: (505) 998-3096 |
Mark Ehrhart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661 |
Dr. Jose Bernardo Rebeil-de La Rosa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110 Phone: 505-998-3096 Fax: 505-998-3100 |
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011 |
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308 |
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919 |
Glenn S. Roush, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4411 The 25 Way Ne, Albuquerque, NM 87109 Phone: 505-332-6921 Fax: 256-382-6455 |
Dr. Adam Nicol Delu, M.D., DABR Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-2269 |