Michael D Gentry, MD | |
400 N Pepper Ave, Colton, CA 92324-1819 | |
(909) 580-1520 | |
(909) 580-1561 |
Full Name | Michael D Gentry |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 400 N Pepper Ave, Colton, California |
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 |
---|---|---|---|
1013196575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A75740 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Arrowhead Regional Medical Center | Colton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arrowhead Radiology Medical Group Inc | 5395739023 | 9 |
Entity Name | Arrowhead Radiology Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023113172 PECOS PAC ID: 5395739023 Enrollment ID: O20040414000415 |
Mailing Address | Practice Location Address |
---|---|
Michael D Gentry, MD Po Box 26060, Fresno, CA 93729-6060 Ph: (559) 455-4000 | Michael D Gentry, MD 400 N Pepper Ave, Colton, CA 92324-1819 Ph: (909) 580-1520 |
Dr. James Park, MD Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2178 | |
Chul H Chae, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Chandler Shyu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Dept Of Radiology, Colton, CA 92324 Phone: 909-580-1520 | |
Frederick L Orr, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Sylvia S Ortiz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 | |
Thuan T Dang, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1520 Fax: 909-580-1561 |