Marvin K Tam, MD | |
6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | |
(480) 456-9000 | |
Not Available |
Full Name | Marvin K Tam |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 6424 E Broadway Rd Ste 101, Mesa, Arizona |
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 |
---|---|---|---|
1174512032 | NPI | - | NPPES |
513756 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 28319 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Desert Medical Center | Mesa, AZ | Hospital |
Banner Baywood Medical Center | Mesa, AZ | Hospital |
Banner Heart Hospital | Mesa, AZ | Hospital |
Banner Gateway Medical Center | Gilbert, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Imaging Services Llc | 1850724386 | 85 |
Sonoran Radiology Ltd | 3375964505 | 393 |
Associated Valley Radiologists Ltd | 8325388499 | 57 |
Entity Name | Banner -- University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Entity Name | Southwest Diagnostic Imaging Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20040507001294 |
Entity Name | Associated Valley Radiologists Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932683257 PECOS PAC ID: 8325388499 Enrollment ID: O20190327003225 |
Entity Name | Banner Imaging Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770139958 PECOS PAC ID: 1850724386 Enrollment ID: O20191213001312 |
Entity Name | Sonoran Radiology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
Entity Name | Toca At Banner Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386270932 PECOS PAC ID: 3072934777 Enrollment ID: O20200604003160 |
Mailing Address | Practice Location Address |
---|---|
Marvin K Tam, MD 1201 S Alma School Rd, Suite 14000, Mesa, AZ 85210-2008 Ph: (480) 545-8119 | Marvin K Tam, MD 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 Ph: (480) 456-9000 |
Asim A. Khwaja, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-926-8332 | |
Tobias Schifter, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Stuart B. Cohen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805 | |
James B. Lyons, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Dr. Kirk D Minkus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7529 E Broadway Rd Ste 101, Mesa, AZ 85208 Phone: 480-945-4343 Fax: 480-945-4350 | |
Brian J. Igel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805 |