Dr Michael Alan Marks, MD | |
305 Langdon St, Somerset, KY 42503-2750 | |
(606) 679-7441 | |
(606) 678-9919 |
Full Name | Dr Michael Alan Marks |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 305 Langdon St, Somerset, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114906898 | NPI | - | NPPES |
3837361 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 31270 (Tennessee) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 35901 (Kentucky) | Secondary |
Entity Name | Dynamic Radiology Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588387096 PECOS PAC ID: 6204207798 Enrollment ID: O20230119003085 |
Mailing Address | Practice Location Address |
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Dr Michael Alan Marks, MD Po Box 3176, West Somerset, KY 42564-3176 Ph: (606) 678-9105 | Dr Michael Alan Marks, MD 305 Langdon St, Somerset, KY 42503-2750 Ph: (606) 679-7441 |
Mr. Terry D Vito Jr., RDCS Radiology Medicare: Not Enrolled in Medicare Practice Location: 149 Whisper Woods Dr, Somerset, KY 42503 Phone: 606-305-7317 | |
William M Baker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 Fax: 606-678-9919 | |
Steven M Eberly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 Fax: 606-678-9919 | |
Amtullah Khan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 112 Tradepark Dr, Somerset, KY 42503 Phone: 606-451-3755 Fax: 606-451-3576 |