Jeffrey Thomas Maddock, MD | |
900 E Broadway Ave, Bismarck, ND 58501-4520 | |
(701) 530-5304 | |
Not Available |
Full Name | Jeffrey Thomas Maddock |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 900 E Broadway Ave, Bismarck, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922450790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 18369 (North Dakota) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 18369 (North Dakota) | Primary |
Entity Name | St Alexius Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
Entity Name | Bismarck Radiology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750159398 PECOS PAC ID: 9739525569 Enrollment ID: O20240314002127 |
Mailing Address | Practice Location Address |
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Jeffrey Thomas Maddock, MD 900 E Broadway Ave, Bismarck, ND 58501-4520 Ph: (701) 530-5304 | Jeffrey Thomas Maddock, MD 900 E Broadway Ave, Bismarck, ND 58501-4520 Ph: (701) 530-5304 |
Michael J Mcintee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5479 | |
Matthew Iwamoto, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Christina Marie Tello-skjerseth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Joshua William Rampton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-5422 | |
Brian J Rau, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-6249 | |
Kyle T Darras, FNP-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 7500 University Dr, Bismarck, ND 58504 Phone: 701-355-3770 | |
Dr. Andrew James Wilder, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 N 9th St, Bismarck, ND 58501 Phone: 701-712-4251 Fax: 701-712-4272 |