Kenneth S Piech, MD | |
5301 Virginia Way, Ste 300, Brentwood, TN 37027-7541 | |
(615) 221-4474 | |
(615) 234-3774 |
Full Name | Kenneth S Piech |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 5301 Virginia Way, Brentwood, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003907775 | NPI | - | NPPES |
319816 | Other | GA | WELLCARE MEDICAID GA CMO |
52287629004 | Other | GA | BLUE CROSS |
64014897 | Medicaid | KY |
Entity Name | Community Pathology Laboratory Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366440570 PECOS PAC ID: 7416860242 Enrollment ID: O20031107000598 |
Mailing Address | Practice Location Address |
---|---|
Kenneth S Piech, MD 5301 Virginia Way, Ste 300, Brentwood, TN 37027-7541 Ph: (615) 221-4474 | Kenneth S Piech, MD 5301 Virginia Way, Ste 300, Brentwood, TN 37027-7541 Ph: (615) 221-4474 |
Kathy Bruner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Roy W. Kirchberg Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Lori D Emerson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-695-4977 | |
Ben W Davis, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Randall L Woodford, MD Pathology Medicare: Medicare Enrolled Practice Location: 5301 Virginia Way, 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Soheila Yadrandji, MD Pathology Medicare: Medicare Enrolled Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 |