Dr Carlos J Ledezma, MD | |
4700 Schaefer Rd., Dearborn, MI 48126-3698 | |
(313) 581-2600 | |
(313) 581-0228 |
Full Name | Dr Carlos J Ledezma |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 19 Years |
Location | 4700 Schaefer Rd., Dearborn, Michigan |
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 |
---|---|---|---|
1255598579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 4301100043 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hi-desert Medical Center | Joshua tree, CA | Hospital |
Desert Regional Medical Center | Palm springs, CA | Hospital |
Fountain Valley Regional Hospital & Medical Center | Fountain valley, CA | Hospital |
John F Kennedy Memorial Hospital | Indio, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden State Imaging Associates Inc | 1254761315 | 223 |
Entity Name | Renaissance Imaging Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20031126000257 |
Entity Name | Health Diagnostics Of California A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20180825000084 |
Entity Name | Golden State Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
Entity Name | Regional Imaging, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689241150 PECOS PAC ID: 7315349966 Enrollment ID: O20210902001277 |
Mailing Address | Practice Location Address |
---|---|
Dr Carlos J Ledezma, MD 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Dr Carlos J Ledezma, MD 4700 Schaefer Rd., Dearborn, MI 48126-3698 Ph: (313) 581-2600 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Joon K Kim, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Jeffery Michael Holton, MD Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Gme Office, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Michael Walter Ramalia Jr., DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |