Kenneth L Weiss, MD | |
1400 Nw 12th Ave, Miami, FL 33136-1003 | |
(305) 243-5512 | |
(305) 243-4613 |
Full Name | Kenneth L Weiss |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1400 Nw 12th Ave, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497783161 | NPI | - | NPPES |
2032017 | Medicaid | OH | |
P01212498 | Other | MS | RAILROAD MEDICARE |
2591054 | Other | OH | AETNA |
64037559 | Medicaid | KY | |
3810002515 | Medicaid | WV | |
000000199157 | Other | OH | ANTHEM |
200343060 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35-05-2264 (Ohio) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME86986 (Florida) | Primary |
Entity Name | Elite Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346516853 PECOS PAC ID: 2466496880 Enrollment ID: O20050616000704 |
Mailing Address | Practice Location Address |
---|---|
Kenneth L Weiss, MD 1400 Nw 12th Ave, Miami, FL 33136-1003 Ph: (305) 243-5512 | Kenneth L Weiss, MD 1400 Nw 12th Ave, Miami, FL 33136-1003 Ph: (305) 243-5512 |
Dr. Brian F Baigorri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3663 S Miami Ave, Miami, FL 33133 Phone: 305-854-4400 | |
Dr. Justin Matthew Rafael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 Fax: 305-273-0254 | |
Tate Hodges, MD Radiology Medicare: Medicare Enrolled Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1272 | |
Aazim Syed Arif, MD Radiology Medicare: Medicare Enrolled Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111 | |
Damian Mendoza, RDMS, RDCS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 4100 Sw 57th Ave, Miami, FL 33155 Phone: 305-856-1064 | |
Mr. Hao V Vuong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 | |
Roberto Calderon, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11750 Sw 40th St, Miami, FL 33175 Phone: 305-665-4614 Fax: 305-667-0239 |