| Troy Constant Avendanio, | |
|
1101 W Liberty St, Dept. Of Radiology, Farmington, MO 63640-1921 | |
| (573) 760-8075 | |
| Not Available |
| Full Name | Troy Constant Avendanio |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 1101 W Liberty St, Farmington, Missouri |
| 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 |
|---|---|---|---|
| 1437165263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | L3563 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | Hospital |
| Baylor University Medical Center | Dallas, TX | Hospital |
| Baylor Scott & White Heart & Vascular Hospital - Dallas | Dallas, TX | Hospital |
| Baylor Scott & White Medical Center Plano | Plano, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Radiology Consultants Pllc | 6709868409 | 115 |
| Entity Name | American Radiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669425195 PECOS PAC ID: 6709868409 Enrollment ID: O20070301000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Constant Avendanio, Po Box 629, Farmington, MO 63640-0629 Ph: (573) 760-8075 | Troy Constant Avendanio, 1101 W Liberty St, Dept. Of Radiology, Farmington, MO 63640-1921 Ph: (573) 760-8075 |
Kenneth D Smith, MD Radiology Medicare: Medicare Enrolled Practice Location: 1101 W Liberty, Parkland Health Center Dept Of Radiology, Farmington, MO 63640 Phone: 573-760-8075 Fax: 573-760-8358 | |
Kenneth L Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty, Parkland Health Center Dept Of Radiology, Farmington, MO 63640 Phone: 573-760-8075 Fax: 573-760-8358 |