Collin Gamble, | |
One Audubon Plaza Drive, Louisville, KY 40217-1702 | |
(502) 447-8786 | |
(502) 447-8623 |
Full Name | Collin Gamble |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | One Audubon Plaza Drive, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689102071 | NPI | - | NPPES |
7100893170 | Medicaid | KY | |
300075464 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 57828 (Kentucky) | Primary |
Entity Name | Diagnostic X-ray Physicians, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619954138 PECOS PAC ID: 1355239534 Enrollment ID: O20040309000656 |
Mailing Address | Practice Location Address |
---|---|
Collin Gamble, 9152 Taylorsville Rd # 276, Louisville, KY 40299-1702 Ph: (502) 447-8786 | Collin Gamble, One Audubon Plaza Drive, Louisville, KY 40217-1702 Ph: (502) 447-8786 |
Dr. Sohail Contractor, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-5875 | |
Dr. Mark S Cornett, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway, Louisville, KY 40202 Phone: 502-629-2500 Fax: 502-629-3165 | |
Dr. Christopher Blair Cornell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr # 276, Louisville, KY 40217 Phone: 502-447-8786 Fax: 502-447-8623 | |
Dr. Andrew John Collins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St # C07, Louisville, KY 40202 Phone: 502-852-5875 | |
Dr. Cynthia H Hart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Abraham Flexner Way, Louisville, KY 40202 Phone: 502-587-4231 Fax: 502-583-2733 | |
Dr. Shannon Ogden Steed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln # 276, Louisville, KY 40207 Phone: 502-447-8786 Fax: 502-447-8623 | |
Theodore Lee, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 502-629-7601 |