Peter M Mamalakis, MD | |
101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | |
(928) 855-8185 | |
Not Available |
Full Name | Peter M Mamalakis |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 18 Years |
Location | 101 Civic Center Ln, Lake Havasu City, 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 |
---|---|---|---|
1316275290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 49335 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Yuma Regional Medical Center | Yuma, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yuma Regional Medical Center | 2062314826 | 284 |
Entity Name | Benson Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
Entity Name | Yavapai Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902897820 PECOS PAC ID: 6608777024 Enrollment ID: O20040119000405 |
Entity Name | Yuma Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20091209000071 |
Entity Name | Mdig Of Arizona, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477056661 PECOS PAC ID: 5294080891 Enrollment ID: O20180622001741 |
Mailing Address | Practice Location Address |
---|---|
Peter M Mamalakis, MD 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 Ph: (928) 855-8185 | Peter M Mamalakis, MD 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 Ph: (928) 855-8185 |
Jack D Dunn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2130 Mesquite Ave Unit 108, Lake Havasu City, AZ 86403 Phone: 928-854-9433 Fax: 928-854-9443 | |
Ayman Nicholas Awad, MD Radiology Medicare: Medicare Enrolled Practice Location: 1944 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-505-9729 | |
Daniel Rawn Emig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3662 N Winifred Way, Lake Havasu City, AZ 86404 Phone: 219-682-8738 Fax: 928-466-9314 |