Bradley Alan Ebel, DO | |
770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | |
(478) 743-1458 | |
(478) 755-1332 |
Full Name | Bradley Alan Ebel |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 29 Years |
Location | 770 Pine St Ste 290, Macon, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053301879 | NPI | - | NPPES |
000910269B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 50158 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical Center, Navicent Health (the) | Macon, GA | Hospital |
Coliseum Medical Centers, Llc, Dba | Macon, GA | Hospital |
Medical Center Of Peach County, Navicent Health | Byron, GA | Hospital |
Coliseum Northside Hospital | Macon, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Magnetic Imaging Center Ltd | 0042205775 | 31 |
Central Georgia Mri Llc | 5597752261 | 38 |
Radiology Associates Of Macon Pc | 7113817701 | 65 |
Entity Name | Radiology Associates Of Macon Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679563035 PECOS PAC ID: 7113817701 Enrollment ID: O20040317001131 |
Entity Name | Georgia Magnetic Imaging Center Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114900545 PECOS PAC ID: 0042205775 Enrollment ID: O20040420000779 |
Entity Name | Central Georgia Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114908522 PECOS PAC ID: 5597752261 Enrollment ID: O20040427000147 |
Mailing Address | Practice Location Address |
---|---|
Bradley Alan Ebel, DO 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 Ph: (478) 743-1458 | Bradley Alan Ebel, DO 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 Ph: (478) 743-1458 |
Murray Charles Relf, MD Radiology Medicare: Medicare Enrolled Practice Location: 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201 Phone: 478-743-1458 Fax: 478-755-1332 | |
Kazumi Chino, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 1st St Ste 110, Macon, GA 31201 Phone: 478-743-3466 Fax: 478-746-2049 | |
Thomas Franklin Glass Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201 Phone: 478-743-1458 Fax: 478-755-1332 | |
Mark Edward Barrow, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 770 Pine Street, Suite 290, Macon, GA 31201 Phone: 478-751-5825 Fax: 478-755-1332 | |
Alan D Kirsh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 770 Pine St, Suite 290, Macon, GA 31201 Phone: 478-743-0029 | |
Dr. Burton D Goodwin Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 770 Pine St, Suite 290, Macon, GA 31201 Phone: 478-633-1257 |