Dr Herbert Lebron Lackey Jr, MD | |
2370 N Ocoee St, Cleveland, TN 37311-3850 | |
(423) 479-6214 | |
(423) 614-4405 |
Full Name | Dr Herbert Lebron Lackey Jr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 2370 N Ocoee St, Cleveland, Tennessee |
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 |
---|---|---|---|
1326046053 | NPI | - | NPPES |
3083638 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 24323 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rhea Medical Center | Dayton, TN | Hospital |
Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleveland Radiology Associates, Pc | 3274540554 | 2 |
Entity Name | Cleveland Radiology Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174552202 PECOS PAC ID: 3274540554 Enrollment ID: O20060310000379 |
Mailing Address | Practice Location Address |
---|---|
Dr Herbert Lebron Lackey Jr, MD Po Box 3990, Cleveland, TN 37320-3990 Ph: (423) 479-6214 | Dr Herbert Lebron Lackey Jr, MD 2370 N Ocoee St, Cleveland, TN 37311-3850 Ph: (423) 479-6214 |
Dr. Howard Kenton Hamilton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2305 Chambliss Ave Nw, Cleveland, TN 37311 Phone: 423-479-6214 Fax: 423-559-6856 | |
Dr. Lisa June Virostek, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 Peerless Rd Nw, Cleveland, TN 37312 Phone: 423-472-2171 Fax: 423-559-8032 | |
Dr. Larry Coy Collins, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2370 N Ocoee St, Cleveland, TN 37311 Phone: 423-479-6214 Fax: 423-614-4405 | |
Samantha Danyell Holcomb, RT (R), RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 1060 Peerless Xing Nw Ste 200, Cleveland, TN 37312 Phone: 423-380-6155 | |
Dr. Roger Dale Miller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2370 N Ocoee St, Cleveland, TN 37311 Phone: 423-479-6214 Fax: 423-614-4405 | |
Dr. Larry R Killen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2370 N Ocoee St, Cleveland, TN 37311 Phone: 423-479-6214 Fax: 423-614-4405 |