Dr Jonathan William Blevins, MD | |
39000 Bob Hope Dr Dept Of, Rancho Mirage, CA 92270-3221 | |
(949) 263-8620 | |
(800) 409-7005 |
Full Name | Dr Jonathan William Blevins |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 18 Years |
Location | 39000 Bob Hope Dr Dept Of, Rancho Mirage, California |
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 |
---|---|---|---|
1477710127 | NPI | - | NPPES |
1477710127 | Medicaid | CA | |
00A1177640 | Other | CA | BC/BS OF CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MT189054 (Pennsylvania) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | A117764 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Halo Medical Group | 7012806052 | 17 |
Entity Name | Halo Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467506451 PECOS PAC ID: 7012806052 Enrollment ID: O20040315001110 |
Entity Name | I V Radiology Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235296880 PECOS PAC ID: 7517952310 Enrollment ID: O20040420000493 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan William Blevins, MD Po Box 18977, Reno, NV 89511-0550 Ph: (949) 263-8620 | Dr Jonathan William Blevins, MD 39000 Bob Hope Dr Dept Of, Rancho Mirage, CA 92270-3221 Ph: (949) 263-8620 |
Dinesh N. Patel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-674-3852 | |
Mehran K. Elly, M.D., PH.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-674-3852 | |
Mr. Jeffrey Franklin Burkeen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-674-3600 Fax: 760-674-3607 | |
Bayani V. Evangelista, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-674-3852 | |
Karin L. Fu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-674-3852 | |
Dr. David P Schreiber, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 35800 Bob Hope Dr Ste 215, Rancho Mirage, CA 92270 Phone: 760-536-4400 Fax: 760-553-4419 | |
Donna Fletman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-674-3852 |