Lea Mackinnon, | |
5749 E Hawthorne St, Tucson, AZ 85711-1523 | |
(520) 792-1450 | |
Not Available |
Full Name | Lea Mackinnon |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 9 Years |
Location | 5749 E Hawthorne St, Tucson, Arizona |
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 |
---|---|---|---|
1699154542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | R75042 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Canyon Medical Center Inc | 0941371439 | 48 |
Boise Radiology Group Pllc | 9638153257 | 52 |
Entity Name | Boise Radiology Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740216175 PECOS PAC ID: 9638153257 Enrollment ID: O20040614000277 |
Entity Name | Weiser Valley Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364030 PECOS PAC ID: 5294704276 Enrollment ID: O20050124000126 |
Entity Name | North Canyon Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
Mailing Address | Practice Location Address |
---|---|
Lea Mackinnon, 1501 N Campbell Ave, Tucson, AZ 85724-0001 Ph: () - | Lea Mackinnon, 5749 E Hawthorne St, Tucson, AZ 85711-1523 Ph: (520) 792-1450 |
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 |