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1396783155

NPI Code Detail

MEDICARE: RICHARD M LEVEY M.D.

MEDICARE: RICHARD M LEVEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	30276	MN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	300058524	OTHER	WI	RAILROAD MEDICARE WI
12	300077272	OTHER	MN	RAILROAD MEDICARE MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	104679	OTHER	MN	UCARE
2	9230138	OTHER	MN	DAKOTA CARE
3	0418002	OTHER	MN	PREFERRED ONE
4	22853	OTHER	MN	AMERICA'S PPO
5	253806	OTHER	MN	MIDLANDS CHOICE INC
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	029R2LE	OTHER	MN	BLUE CROSS
8	8F150LE	OTHER	MN	BLUE CROSS
9	0182528	OTHER	MN	DEPT OF LABOR & INDUSTRIE
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	HP13819	OTHER	MN	HEALTHPARTNERS

General Provider Information

NPI Number	:	1396783155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD M LEVEY M.D.

Provider Business Mailing Address
First Line	:	1649 HAMMON AVE
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5023
Country	:	US
Telephone Number	:	612-875-1578
Fax Number	:

Provider Business Practice Location Address
First Line	:	2767 OLIVE HWY
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6118
Country	:	US
Telephone Number	:	530-532-8550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	11/06/2023

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Directions to “ RICHARD M LEVEY M.D.” Practice Location

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