| Vic Liengswangwong, MD | |
|
1751 Veterans Dr, Florence, AL 35630-4929 | |
| (256) 629-4800 | |
| (256) 629-4899 |
| Full Name | Vic Liengswangwong |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 43 Years |
| Location | 1751 Veterans Dr, Florence, Alabama |
| 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 |
|---|---|---|---|
| 1851360796 | NPI | - | NPPES |
| 275404 | Medicaid | AL | |
| 34075000 | Medicaid | WI | |
| 1296554 | Other | MN | AMERICA'S PPO |
| 151702 | Other | MN | UCARE MN |
| HP32879 | Other | MN | HEALTHPARTNERS |
| 69B76LI | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 1027665 | Other | MN | PREFERRED ONE |
| 095514100 | Medicaid | MN | |
| 2400058 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 34883 (Minnesota) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 63950-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center-mesabi/ Mesaba Clinics | Hibbing, MN | Hospital |
| Grand Itasca Clinic And Hospital | Grand rapids, MN | Hospital |
| Essentia Health Virginia | Virginia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Range Regional Health Services | 8022920024 | 255 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Vic Liengswangwong, MD 1701 Veterans Dr Ste 190, Florence, AL 35630-4928 Ph: (256) 629-4800 | Vic Liengswangwong, MD 1751 Veterans Dr, Florence, AL 35630-4929 Ph: (256) 629-4800 |
Todd Alvin Durham, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-381-0400 Fax: 256-386-0065 | |
Robert Rausch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2701 Mall Dr, Suite #9, Florence, AL 35630 Phone: 256-768-1005 Fax: 256-768-0209 | |
Dr. Paul Vonherrmann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Dept Of Radiology, Florence, AL 35630 Phone: 256-768-8392 Fax: 256-768-8870 | |
Richard Pearlman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Cox Creek Pkwy S, Florence, AL 35630 Phone: 256-319-5400 |