Carlton Heath Petty, MD | |
1250 E Marshall St, Rad: Diagnostic Radiology, Richmond, VA 23298-5051 | |
(804) 828-6831 | |
(804) 628-1132 |
Full Name | Carlton Heath Petty |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 13 Years |
Location | 1250 E Marshall St, Richmond, Virginia |
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 |
---|---|---|---|
1477799773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101255250 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Candler Hospital | Savannah, GA | Hospital |
St Joseph's Hospital - Savannah | Savannah, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Savannah Chatham Imaging Llc | 6800890245 | 30 |
Outpatient Imaging Services Llc | 7810022480 | 10 |
Outpatient Imaging Services Llc | 7810022480 | 10 |
Entity Name | Savannah Chatham Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992721278 PECOS PAC ID: 6800890245 Enrollment ID: O20060828000123 |
Entity Name | Outpatient Imaging Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558691477 PECOS PAC ID: 7810022480 Enrollment ID: O20100322000267 |
Mailing Address | Practice Location Address |
---|---|
Carlton Heath Petty, MD Po Box 91734, Richmond, VA 23291-1734 Ph: (804) 358-6100 | Carlton Heath Petty, MD 1250 E Marshall St, Rad: Diagnostic Radiology, Richmond, VA 23298-5051 Ph: (804) 828-6831 |
Dr. Christine H Llewellyn, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall Street, Radiology, Richmond, VA 23298 Phone: 804-828-8262 Fax: 804-828-6129 | |
Kathryn S. Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Richmond, VA 23298 Phone: 804-628-3580 Fax: 804-628-3593 | |
Dr. Richard Westwood Fuller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, Richmond, VA 23235 Phone: 804-272-8806 | |
Michelle S. Kraut, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7110 Forest Ave, Suite 100, Richmond, VA 23226 Phone: 804-673-4200 Fax: 804-673-6513 | |
Dr. Matthew L Cohen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, Richmond, VA 23235 Phone: 804-272-8806 | |
Dr. Roger Headly Tutton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1839 Monument Ave, Richmond, VA 23220 Phone: 804-355-7788 | |
Ryan D Clayton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Radiology, Richmond, VA 23298 Phone: 804-628-6831 Fax: 804-628-1132 |