Dr Leena Mammen, MD | |
3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 | |
(910) 486-5700 | |
(910) 486-5950 |
Full Name | Dr Leena Mammen |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 35 Years |
Location | 3186 Village Dr Ste 201, Fayetteville, North Carolina |
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 |
---|---|---|---|
1275568826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301081377 (Michigan) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2022-02626 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Munson Medical Center | Traverse city, MI | Hospital |
Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
Munson Healthcare Cadillac Hospital | Cadillac, MI | Hospital |
Munson Healthcare Grayling Hospital | Grayling, MI | Hospital |
Charlevoix Area Hospital | Charlevoix, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Radiology Services Pc | 4284546516 | 237 |
Spartan Radiology Inc | 5698003697 | 176 |
Grand Traverse Radiologists Pc | 6002866407 | 27 |
Advanced Radiology Services Pc | 4284546516 | 237 |
Spartan Radiology Inc | 5698003697 | 176 |
Entity Name | Advanced Radiology Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20031104000494 |
Entity Name | Grand Traverse Radiologists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760404891 PECOS PAC ID: 6002866407 Enrollment ID: O20050124000780 |
Entity Name | Spartan Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932768058 PECOS PAC ID: 5698003697 Enrollment ID: O20190829001596 |
Mailing Address | Practice Location Address |
---|---|
Dr Leena Mammen, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272 | Dr Leena Mammen, MD 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 Ph: (910) 486-5700 |
Dr. Bryan Nicholas Swilley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Dr. Andrew Bostaph, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3027 Hampton Ridge Rd, Fayetteville, NC 28311 Phone: 303-933-8270 Fax: 972-437-3369 | |
Sheryl Gillikin Jordan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Medical Dr, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
James E. Shearer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Gretchen Elizabeth Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Irene Vasko, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Leroy Roberts Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 |