Kristina L Jong, MD | |
677 N Wilmot Rd, Tucson, AZ 85711-2701 | |
(520) 795-2889 | |
Not Available |
Full Name | Kristina L Jong |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 677 N Wilmot Rd, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104916253 | NPI | - | NPPES |
1104916253 | Medicaid | CA | |
00A810740 | Other | CA | BC BS OF CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A81074 (California) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 52500 (Arizona) | Primary |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | California Managed Imaging Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20080528000575 |
Entity Name | Radiology Ltd Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841261989 PECOS PAC ID: 6204727589 Enrollment ID: O20201217002112 |
Entity Name | Hudson Valley Radiologists P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114990561 PECOS PAC ID: 3779474853 Enrollment ID: O20220630002665 |
Mailing Address | Practice Location Address |
---|---|
Kristina L Jong, MD 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 Ph: () - | Kristina L Jong, MD 677 N Wilmot Rd, Tucson, AZ 85711-2701 Ph: (520) 795-2889 |
Gary A Podolny, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13305 E Saddlerock Rd, Tucson, AZ 85749 Phone: 520-749-3468 | |
Thomas R. Cain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 677 N Wilmot Rd, Tucson, AZ 85711 Phone: 520-795-2889 | |
William G Berger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 677 N Wilmot Rd, Tucson, AZ 85711 Phone: 520-571-9599 | |
Edward E Rogoff, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2625 N Craycroft Rd, Ste 100, Tucson, AZ 85712 Phone: 520-324-4214 Fax: 520-324-2680 | |
Dr. Jose Bernardo Rebeil-de La Rosa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2492 E River Rd, Tucson, AZ 85718 Phone: 520-722-8994 Fax: 520-624-0117 | |
Marilyn Kay Croghan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2625 N Craycroft Rd, Ste 100, Tucson, AZ 85712 Phone: 520-324-4214 Fax: 520-324-2680 | |
Baldassarre Stea, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-694-7236 Fax: 520-626-2032 |