Moe Phyu Tun (NPI# 1033485305, PAC ID# 0941501738) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1033485305 |
| PAC ID by PECOS | 0941501738 |
| Professional Enrollment ID | I20180615000000 |
| Full Name | Moe Phyu Tun |
| Organization Legal Name | ADVANCED RADIOLOGY, S.C. |
| Address |
507 Monroe St Grant Regional Health Center Lancaster WI 53813 |
| Phone Number | 3097621072311 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2365339207 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140280 | TRINITY - ROCK ISLAND |
| 160080 | MERCY MEDICAL CENTER-CLINTON |
| 160104 | TRINITY - BETTENDORF |
| 160013 | TRINITY MUSCATINE |
| 141319 | HAMMOND HENRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4480 Utica Ridge Rd, Suite 120, Bettendorf, IA 52722-1644 | 5633590277 | ADVANCED RADIOLOGY, S.C. |
| 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | 5637425000 | ADVANCED RADIOLOGY, S.C. |
| 507 Monroe St, Grant Regional Health Center, Lancaster, WI 53813 | 3097621072311 | ADVANCED RADIOLOGY, S.C. |
| 9177 Old Potosi Rd, Family Medical Center, Lancaster, WI 53813-9437 | 6087234300 | ADVANCED RADIOLOGY, S.C. |
| 615 Valley View Dr, Moline, IL 61265-6150 | ADVANCED RADIOLOGY, S.C. |
| Organization Legal Name | ADVANCED RADIOLOGY, S.C. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Mike Patramanis | Diagnostic Radiology | Advanced Radiology, S.c. | 615 Valley View Dr, 102 Metro Mri Ctr Limited Partnership, Moline, IL 61265-6150 |
| Pranav Patel | Diagnostic Radiology | Advanced Radiology, S.c. | 4480 Utica Ridge Rd, Suite 120, Bettendorf, IA 52722-1644 |
| Andrew Ellingson | Diagnostic Radiology | Advanced Radiology, S.c. | 4480 Utica Ridge Rd, Suite 120, Bettendorf, IA 52722-1644 |
| Casey Veach | Diagnostic Radiology | Advanced Radiology, S.c. | 615 Valley View Dr, 102 Metro Mri Ctr Limited Partnership, Moline, IL 61265-6150 |
| Steven Arthur Cremer | Diagnostic Radiology | Advanced Radiology, S.c. | 615 Valley View Dr, 102 Metro Mri Ctr Limited Partnership, Moline, IL 61265-6150 |
| Nathan A Durick | Diagnostic Radiology | Advanced Radiology, S.c. | 507 Monroe St, Grant Regional Health Center, Lancaster, WI 53813 |
| Susan Marley - Bird | Diagnostic Radiology | Advanced Radiology, S.c. | 615 Valley View Dr, 102 Metro Mri Ctr Limited Partnership, Moline, IL 61265-6150 |
| Bernie J Saks | Diagnostic Radiology | Advanced Radiology, S.c. | 4480 Utica Ridge Rd, Suite 120, Bettendorf, IA 52722-1644 |
| Reid M Schroeder | Diagnostic Radiology | Advanced Radiology, S.c. | 615 Valley View Dr, 101 Advanced Imaging Center LLC, Moline, IL 61265-6150 |
| Craig Tillman | Diagnostic Radiology | Advanced Radiology, S.c. | 615 Valley View Dr, Moline, IL 61265-6150 |
| Street Address |
507 MONROE ST GRANT REGIONAL HEALTH CENTER |
| City | LANCASTER |
| State | WI |
| Zip | 53813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan A Durick | Diagnostic Radiology | Advanced Radiology, S.c. | 507 Monroe St, Grant Regional Health Center, Lancaster, WI 53813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Vanden Heuvel | Clinical Social Worker | Platteville Family Resource Center Inc | 219 W Maple St, Lancaster, WI 53813-1642 |
| Ryan E Leibfried | Chiropractic | 138 S Madison St, Lancaster, WI 53813-1761 | |
| Jessica H Varnam | Family Medicine | High Point Family Medicine LLC | 105 E Lincoln Ave, Lancaster, WI 53813-2019 |
| Thaddeus Mark Wontor | Optometry | Southwest Health Center Inc | 500 S Madison St, Lancaster, WI 53813-2045 |
| Nicole M Klein | Optometry | Southwest Health Center Inc | 500 S Madison St, Lancaster, WI 53813-2045 |
| Mary Jo Oyen | Ophthalmology | Southwest Health Center Inc | 500 S Madison St, Lancaster, WI 53813-2045 |
| Abigail Marie Burns | Nurse Practitioner | Grant Regional Health Center Inc | 507 S Monroe St, Lancaster, WI 53813-2054 |
| Krynn Buckley | Obstetrics/gynecology | Grant Regional Health Center Inc | 507 S Monroe St, Lancaster, WI 53813-2054 |
| Michelle D Bainbridge | Certified Registered Nurse Anesthetist (crna) | Grant Regional Health Center Inc | 507 S Monroe St, Lancaster, WI 53813-2054 |
| Adam W Schope | General Surgery | Grant Regional Health Center Inc | 507 S Monroe St, Lancaster, WI 53813-2054 |
| Find all physicians in zip 53813 | |||
| City | LANCASTER |
| Zip Code | 53813 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LANCASTER + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.