Mr Elliot H Himmelfarb, MD | |
3024 Business Park Cir, Goodlettsville, TN 37072-3132 | |
(615) 851-6033 | |
(615) 851-2018 |
Full Name | Mr Elliot H Himmelfarb |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3024 Business Park Cir, Goodlettsville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710932017 | NPI | - | NPPES |
1509269 | Other | TN | MEDICAID - MTI |
4068857 | Other | TN | BCBS |
4200724 | Other | TN | BCBS TN |
64071590 | Other | KY | KY MEDICAID |
1509269 | Medicaid | TN | |
4068499 | Other | TN | BCBS |
PENDING | Other | TN | RAILROAD MEDICARE |
4291392 | Other | TN | BCBS - MTI |
3161070 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD8191 (Tennessee) | Primary |
Entity Name | Advanced Diagnostic Imaging Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
Entity Name | Medical X-ray Consultants,ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386601383 PECOS PAC ID: 3274447313 Enrollment ID: O20210211001307 |
Mailing Address | Practice Location Address |
---|---|
Mr Elliot H Himmelfarb, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 | Mr Elliot H Himmelfarb, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 |
Mr. Marc G Soble, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Melinda Rixey Sava, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Mr. Lawrence D Lubow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. John J Nisbet, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-234-1502 | |
Mr. Michael C Ellis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Jonathan Paul Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Matthew Renaud Bernhard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 |