Linda Michelle Petrovich, MD | |
240 Wood Ln, Haddonfield, NJ 08033-1423 | |
(952) 595-1100 | |
(612) 294-4903 |
Full Name | Linda Michelle Petrovich |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 240 Wood Ln, Haddonfield, New Jersey |
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 |
---|---|---|---|
1528028248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 25MA06866900 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
Las Palmas Medical Center | El paso, TX | Hospital |
Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
Christus Spohn Hospital Corpus Christi | Corpus christi, TX | Hospital |
Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sierra Vista Hospital 69 | 0143122416 | 58 |
Singleton Associates Pa | 6305731118 | 681 |
Mountain Radiology Inc | 4688666761 | 68 |
Singleton Associates Pa | 6305731118 | 681 |
Eagle Partners Pllc | 9032205752 | 93 |
Sonoran Radiology Ltd | 3375964505 | 393 |
Entity Name | Sierra Vista Hospital 69 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20040126000840 |
Mailing Address | Practice Location Address |
---|---|
Linda Michelle Petrovich, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Linda Michelle Petrovich, MD 240 Wood Ln, Haddonfield, NJ 08033-1423 Ph: (952) 595-1100 |
Mr. Fazlollah Golestaneh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 66 Tanner Street, Sam Radiology Services, Llc, Haddonfield, NJ 08033 Phone: 856-507-9512 Fax: 856-507-9516 |