Timothy Jon Rolle, MD | |
8020 Constitution Pl Ne, Suite 202, Albuquerque, NM 87110-7607 | |
(505) 998-3096 | |
(505) 998-3100 |
Full Name | Timothy Jon Rolle |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 8020 Constitution Pl Ne, Albuquerque, New Mexico |
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 |
---|---|---|---|
1205071065 | NPI | - | NPPES |
539599YN90 | Other | NM | MEDICARE PTAN |
539599YLGQ | Other | NM | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD2016-0801 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver Dam | Beaver dam, WI | Hospital |
Marshfield Medical Center | Marshfield, WI | Hospital |
Marshfield Medical Center - Eau Claire | Eau claire, WI | Hospital |
University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Diagnostic Imaging Llc | 0042107641 | 11 |
Milwaukee Radiologists Ltd Sc | 7113915810 | 17 |
Medical Diagnostic Imaging Llc | 0042107641 | 11 |
Marshfield Clinic Inc | 2264345206 | 92 |
Mchs Hospitals Inc | 5698071173 | 1030 |
Milwaukee Radiologists Ltd Sc | 7113915810 | 17 |
Entity Name | Commonwealth Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
Entity Name | Medical Diagnostic Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427165331 PECOS PAC ID: 0042107641 Enrollment ID: O20230123000160 |
Entity Name | Milwaukee Radiologists Ltd Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568564904 PECOS PAC ID: 7113915810 Enrollment ID: O20230321002209 |
Mailing Address | Practice Location Address |
---|---|
Timothy Jon Rolle, MD 5344 S Arabian Dr, Sierra Vista, AZ 85650-9199 Ph: (705) 764-4102 | Timothy Jon Rolle, MD 8020 Constitution Pl Ne, Suite 202, Albuquerque, NM 87110-7607 Ph: (505) 998-3096 |
Mark Ehrhart, MD Radiology Medicare: Medicare Enrolled Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661 | |
Dr. Shaya Ansari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110 Phone: 505-998-3096 Fax: 505-998-3100 | |
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011 | |
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308 | |
Danielle Eckart Sorte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Dept Of Radiology Msc 10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 801-641-5515 | |
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919 | |
Ryan Craig Lebaron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225 |