Dr Cory Allen Kutlick, DO | |
1675 E Main St, Box 328, Kent, OH 44240-5818 | |
(330) 593-1049 | |
(330) 572-3836 |
Full Name | Dr Cory Allen Kutlick |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 19 Years |
Location | 1675 E Main St, Kent, Ohio |
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 |
---|---|---|---|
1336303114 | NPI | - | NPPES |
0051702 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 34.010220 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
Mh St Joseph Warren Hospital | Warren, OH | Hospital |
Mercy Regional Medical Center | Lorain, OH | Hospital |
Southeastern Ohio Regional Medical Center | Cambridge, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 391 |
Columbus Radiology Corp | 6507754983 | 275 |
Entity Name | Columbus Radiology Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
Entity Name | Mercy Health Physicians Youngstown, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
---|---|
Dr Cory Allen Kutlick, DO 1675 E Main St, Box 328, Kent, OH 44240-5818 Ph: (330) 593-1049 | Dr Cory Allen Kutlick, DO 1675 E Main St, Box 328, Kent, OH 44240-5818 Ph: (330) 593-1049 |
Nancy Ann Hallo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1675 East Main Street, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Dr. Paul L Chesis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Shashidhara S. Tapasi Murthy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-677-8770 | |
Dr. Bert David Collier Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1030 Fax: 330-572-3836 | |
Dr. Jonah Ralph Moon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Dr. Antonio Carlos Bernaud Burnett, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 |