Dr Michael Allan Tall, MD | |
101 Bodin Cir, 60 Mdts/sgqx, Travis Afb, CA 94535-1809 | |
(707) 423-7182 | |
Not Available |
Full Name | Dr Michael Allan Tall |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 101 Bodin Cir, Travis Afb, 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 |
---|---|---|---|
1568412518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | K2808 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Health System | San antonio, TX | Hospital |
Connally Memorial Medical Center | Floresville, TX | Hospital |
Methodist Hospital | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Texas Health Science Center At San Antonio | 0042128548 | 1070 |
Entity Name | University Of Texas Health Science Center At San Antonio |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
Entity Name | Elite Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942208319 PECOS PAC ID: 2466496880 Enrollment ID: O20140611000768 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Allan Tall, MD 1000 Allison Dr, Apt. 210, Vacaville, CA 95687-4975 Ph: (707) 447-3011 | Dr Michael Allan Tall, MD 101 Bodin Cir, 60 Mdts/sgqx, Travis Afb, CA 94535-1809 Ph: (707) 423-7182 |
Dr. Teddy Jinnteh Su, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181 | |
Dr. Zoltan A. Varro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182 | |
James Odone, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Winnifred Wong, DO Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7691 | |
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119 |