Dr Rick Jay Cornella, MD | |
400 Shadowline Dr, Boone, NC 28607-5089 | |
(828) 264-6850 | |
(828) 264-0490 |
Full Name | Dr Rick Jay Cornella |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 400 Shadowline Dr, Boone, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811964604 | NPI | - | NPPES |
89126HA | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 29815 (North Carolina) | Primary |
Entity Name | Triad Radiology Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659485001 PECOS PAC ID: 8729086194 Enrollment ID: O20061120000009 |
Mailing Address | Practice Location Address |
---|---|
Dr Rick Jay Cornella, MD 400 Shadowline Dr, Boone, NC 28607-5022 Ph: (828) 264-6850 | Dr Rick Jay Cornella, MD 400 Shadowline Dr, Boone, NC 28607-5089 Ph: (828) 264-6850 |
Dr. Tammy N Crumpler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 336 Deerfield Rd, Boone, NC 28607 Phone: 828-262-4100 | |
Dr. Yvonne Mack, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 182 Virginia St, Boone, NC 28607 Phone: 828-262-4342 Fax: 828-262-4414 | |
Dr. Steven Reed Bullock, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 155 Furman Rd Ste 101a, Boone, NC 28607 Phone: 828-262-4402 Fax: 828-264-0490 | |
Dr. Patrick E Holmes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 Furman Rd Ste 101a, Boone, NC 28607 Phone: 828-262-4402 Fax: 828-264-0490 | |
Dr. Richard Wayne Geldmeier, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Shadowline Dr, Ste 201a, Boone, NC 28607 Phone: 828-264-6850 Fax: 828-264-6850 | |
Christopher Joseph Shuman, Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 Furman Rd Ste 101a, Boone, NC 28607 Phone: 828-262-4402 |