Robert B Davis, MD | |
2483 Highway 644, Louisa, KY 41230 | |
(606) 638-9451 | |
Not Available |
Full Name | Robert B Davis |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2483 Highway 644, Louisa, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053381731 | NPI | - | NPPES |
2234219 | Medicaid | OH | |
0120614000 | Medicaid | WV | |
64281389 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 28138 (Kentucky) | Primary |
Entity Name | Premier Imaging And Intervention Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285633370 PECOS PAC ID: 4587562335 Enrollment ID: O20050617000389 |
Mailing Address | Practice Location Address |
---|---|
Robert B Davis, MD Po Box 1006, Ashland, KY 41105-1006 Ph: (866) 494-8267 | Robert B Davis, MD 2483 Highway 644, Louisa, KY 41230 Ph: (606) 638-9451 |
Joseph L Skeens, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2483 Highway 644, Louisa, KY 41230 Phone: 606-638-9451 | |
James B Carrico, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2483 Highway 644, Louisa, KY 41230 Phone: 606-638-9451 | |
Chun Kim, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2483 Highway 644, Louisa, KY 41230 Phone: 606-638-9451 |