Mark Bao Le, MD | |
7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | |
(317) 614-9804 | |
Not Available |
Full Name | Mark Bao Le |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 11 Years |
Location | 7171 N Dale Mabry Hwy, Tampa, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487090213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A160384 (California) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | A160384 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marietta Memorial Hospital | Marietta, OH | Hospital |
Southern California Hospital At Hollywood | Hollywood, CA | Hospital |
Garfield Medical Center | Monterey park, CA | Hospital |
Memorial Hospital Of Gardena | Gardena, CA | Hospital |
Avita Ontario | Ontario, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kc Tan, M.d. Medical Corporation | 2062719719 | 40 |
Advanced Radiology Services Pc | 4284546516 | 237 |
Southern California Vascular Institute Inc | 4880904895 | 4 |
Oak Hills Medical Corporation | 6800783283 | 12 |
Riverside Radiology And Interventional Associates Inc | 8729976964 | 198 |
Riverwalk Medical Corporation | 9537319462 | 3 |
Covenant Medical Center Inc | 2769387778 | 383 |
Entity Name | Oak Hills Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386754273 PECOS PAC ID: 6800783283 Enrollment ID: O20040301000964 |
Entity Name | Silver Summit Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891913612 PECOS PAC ID: 6002800588 Enrollment ID: O20040408001452 |
Entity Name | Silver Summit Medical Corporation |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1679791404 PECOS PAC ID: 6002800588 Enrollment ID: O20050331000878 |
Entity Name | Lin Radiological Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346306164 PECOS PAC ID: 6204840267 Enrollment ID: O20060128000047 |
Entity Name | Focus Medical Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528299989 PECOS PAC ID: 6406999259 Enrollment ID: O20100202000905 |
Entity Name | Advanced Radiology Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20101207001170 |
Entity Name | Riverwalk Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477803609 PECOS PAC ID: 9537319462 Enrollment ID: O20121030000235 |
Entity Name | Singleton Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20150701002707 |
Entity Name | Southern California Vascular Institute Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982029732 PECOS PAC ID: 4880904895 Enrollment ID: O20151103002612 |
Entity Name | Kc Tan, M.d. Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215394036 PECOS PAC ID: 2062719719 Enrollment ID: O20160324000980 |
Entity Name | Riverside Radiology And Interventional Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20180216000833 |
Entity Name | Sheridan Radiology Services Of West Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235674904 PECOS PAC ID: 4082998075 Enrollment ID: O20180619001917 |
Mailing Address | Practice Location Address |
---|---|
Mark Bao Le, MD 110 W Las Tunas Dr Ste C, San Gabriel, CA 91776-1346 Ph: (626) 653-8712 | Mark Bao Le, MD 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 Ph: (317) 614-9804 |
Mr. Niema Brandon Razavian, MD Radiology Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 | |
Dr. Justin S. Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-253-2721 Fax: 813-254-4597 | |
Dr. Babu Zachariah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7667 Fax: 813-978-5805 | |
Dr. Robert Joseph Novaco, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6001 Webb Rd, Tampa, FL 33615 Phone: 201-452-8794 | |
Robert Paul Ruvolo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2137 West Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 941-349-3409 | |
Scott D Perrin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-251-5822 | |
Sen Lu, M.D., M.P.H. Radiology Medicare: Medicare Enrolled Practice Location: 17 Davis Blvd, Suite 308, Tampa, FL 33606 Phone: 813-259-8515 |