Theodore Lee, MD | |
200 E Chestnut St, Louisville, KY 40202-1831 | |
(502) 629-7601 | |
Not Available |
Full Name | Theodore Lee |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 200 E Chestnut St, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043218308 | NPI | - | NPPES |
000000050043 | Other | KY | BC BS |
64249964 | Medicaid | KY | |
000000308613 | Other | KY | BC BS |
50005987 | Other | KY | PASSPORT |
1051833 | Other | KY | PASSPORT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 24996 (Kentucky) | Primary |
Entity Name | Diagnostic Imaging Alliance Of Louisville Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396765509 PECOS PAC ID: 1951214220 Enrollment ID: O20031112000110 |
Mailing Address | Practice Location Address |
---|---|
Theodore Lee, MD 234 E Gray St, Suite 850, Louisville, KY 40202-1900 Ph: (502) 629-7601 | Theodore Lee, MD 200 E Chestnut St, Louisville, KY 40202-1831 Ph: (502) 629-7601 |
Dr. Sohail Contractor, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-5875 | |
Dr. Mark S Cornett, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway, Louisville, KY 40202 Phone: 502-629-2500 Fax: 502-629-3165 | |
Dr. Christopher Blair Cornell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr # 276, Louisville, KY 40217 Phone: 502-447-8786 Fax: 502-447-8623 | |
Dr. Andrew John Collins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St # C07, Louisville, KY 40202 Phone: 502-852-5875 | |
Dr. Cynthia H Hart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Abraham Flexner Way, Louisville, KY 40202 Phone: 502-587-4231 Fax: 502-583-2733 | |
Dr. Shannon Ogden Steed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln # 276, Louisville, KY 40207 Phone: 502-447-8786 Fax: 502-447-8623 |