Anisha S Martin, MD | |
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
(708) 684-5000 | |
Not Available |
Full Name | Anisha S Martin |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 17 Years |
Location | 4440 W 95th St, Oak Lawn, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174766745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 036133215 (Illinois) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 036133215 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ingalls Memorial Hospital | Harvey, IL | Hospital |
Daviess Community Hospital | Washington, IN | Hospital |
Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
Franciscan Health Crown Point | Crown point, IN | Hospital |
Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imaging Associates Of Indiana Pc | 1254503345 | 179 |
Specialists In Medical Imaging Sc | 2163733544 | 202 |
Radiology Partners Of Iowa Inc | 7315214236 | 17 |
Imaging Associates Of Indiana Pc | 1254503345 | 179 |
Radiology Partners Of Iowa Inc | 7315214236 | 17 |
Entity Name | Imaging Associates Of Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20150106000375 |
Entity Name | Specialists In Medical Imaging Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20150626000251 |
Entity Name | Radiology Partners Of Iowa Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881139566 PECOS PAC ID: 7315214236 Enrollment ID: O20170525000497 |
Mailing Address | Practice Location Address |
---|---|
Anisha S Martin, MD 71 W 156th St, Suit 110, Harvey, IL 60426-4260 Ph: (708) 915-5671 | Anisha S Martin, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5000 |
Dr. Choong H Koh, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th Street, Oak Lawn, IL 60653 Phone: 708-345-5520 | |
Dr. Paul Michael Guzzetta Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-3077 Fax: 708-684-4800 | |
Dr. Myrosia Tomiak Mitchell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Advocate Christ Medical Center, Dept. Of Radiology, Oak Lawn, IL 60453 Phone: 708-915-5671 Fax: 708-915-4022 | |
Nihal Gooneratne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-648-5520 | |
Paul Montgomery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St Dept Of, Oak Lawn, IL 60453 Phone: 708-684-5503 Fax: 708-684-2675 | |
Antoine Azar, MD Radiology Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-6949 | |
Dr. Hyuk Jason Kang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-346-3055 |