Dr Kent E Ibanez, MD | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-9000 | |
Not Available |
Full Name | Dr Kent E Ibanez |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 24 Years |
Location | 2160 S 1st Ave, Maywood, Illinois |
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 |
---|---|---|---|
1326007972 | NPI | - | NPPES |
P00360851 | Other | RRMCARE | |
179932201 | Other | TX | CSHCN2 |
179932202 | Medicaid | TX | |
179932203 | Other | TX | CSHCN1 |
P00360851 | Other | RRMCARE2 | |
22557 | Other | NE | NEBRASKA MEDICAL LICENSE |
179932201 | Medicaid | TX |
Facility Name | Location | Facility Type |
---|---|---|
St David's South Austin Medical Center | Austin, TX | Hospital |
Seton Medical Center Williamson | Round rock, TX | Hospital |
Round Rock Medical Center | Round rock, TX | Hospital |
North Austin Medical Center | Austin, TX | Hospital |
Ascension Seton Hays | Kyle, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Austin Radiological Association | 4880686179 | 114 |
Singleton Associates Pa | 6305731118 | 681 |
Entity Name | Singleton Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
Entity Name | Austin Radiological Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033196464 PECOS PAC ID: 4880686179 Enrollment ID: O20040330000453 |
Entity Name | Mountain Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093823742 PECOS PAC ID: 4688666761 Enrollment ID: O20200603002000 |
Entity Name | Pinnacle Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457125288 PECOS PAC ID: 3870939614 Enrollment ID: O20240318000127 |
Entity Name | Sra Medical Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881920452 PECOS PAC ID: 1759369663 Enrollment ID: O20240424001308 |
Mailing Address | Practice Location Address |
---|---|
Dr Kent E Ibanez, MD 12554 Riata Vista Cir, Austin, TX 78727-6431 Ph: (512) 795-5100 | Dr Kent E Ibanez, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Anita Oza Nagamine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Paolo Gian Piero Nucifora, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Harold Posniak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, (mcgaw Ent., Rm. 47), Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 | |
Christine Dudiak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 | |
Dr. Scott Alan Mirowitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 So First Avenue, Radiology, Maywood, IL 60153 Phone: 708-216-9000 | |
Kyle Mcwilliams, DO Radiology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 260-460-0514 | |
Yi E Lin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 |