Richard Kevin Cole, MD | |
1105 Earl Frye Blvd, Amory, MS 38821-5500 | |
(952) 595-1100 | |
(612) 294-4903 |
Full Name | Richard Kevin Cole |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 1105 Earl Frye Blvd, Amory, Mississippi |
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 |
---|---|---|---|
1982646725 | NPI | - | NPPES |
300117868 | Other | MS | RAILROAD MEDICARE |
P00968040 | Other | MS | RR MCR |
009949330 | Medicaid | AL | |
00123929 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 15524 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Mississippi Medical Center | Tupelo, MS | Hospital |
North Mississippi Medical Center-gilmore Amory | Amory, MS | Hospital |
Tishomingo Health Services Inc | Iuka, MS | Hospital |
Winston Medical Center & Swingbed | Louisville, MS | Hospital |
Clay County Medical Corporation | West point, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oxford Pre Op And Imaging Center Llc | 0840444998 | 17 |
Choctaw Regional Medical Center | 2567682206 | 36 |
Premier Radiology Inc | 2769452242 | 22 |
Tippah County Hospital | 5193746709 | 24 |
Baptist Memorial Hospital - Calhoun Inc | 5395024210 | 19 |
Medical Imaging, Llc | 5698731271 | 15 |
Imaging Center At Gloster Creek Village Pllc | 5991771255 | 15 |
Tate County Hospital | 6103282165 | 21 |
Imaging Centers For Excellence, Llc | 6406854538 | 10 |
Winston County Medical Foundation | 7315943255 | 21 |
Premier Radiology Inc | 2769452242 | 22 |
Entity Name | Premier Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083669121 PECOS PAC ID: 2769452242 Enrollment ID: O20040730000681 |
Entity Name | Imaging Center At Gloster Creek Village Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907536 PECOS PAC ID: 5991771255 Enrollment ID: O20040908000606 |
Entity Name | Medical Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316075864 PECOS PAC ID: 5698731271 Enrollment ID: O20041206000515 |
Entity Name | Tippah County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891720009 PECOS PAC ID: 5193746709 Enrollment ID: O20051212000167 |
Entity Name | Winston County Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316078108 PECOS PAC ID: 7315943255 Enrollment ID: O20061017000019 |
Entity Name | Imaging Centers For Excellence, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730281148 PECOS PAC ID: 6406854538 Enrollment ID: O20061127000362 |
Entity Name | Oxford Pre Op & Imaging Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750646436 PECOS PAC ID: 0840444998 Enrollment ID: O20130125000383 |
Entity Name | Choctaw Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235547878 PECOS PAC ID: 2567682206 Enrollment ID: O20141215002502 |
Entity Name | Baptist Memorial Hospital - Calhoun Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881142461 PECOS PAC ID: 5395024210 Enrollment ID: O20161203000022 |
Entity Name | Tate County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285331298 PECOS PAC ID: 6103282165 Enrollment ID: O20230517000566 |
Mailing Address | Practice Location Address |
---|---|
Richard Kevin Cole, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 | Richard Kevin Cole, MD 1105 Earl Frye Blvd, Amory, MS 38821-5500 Ph: (952) 595-1100 |