William L Cooper, MD | |
103 Alycia Dr, Richmond, KY 40475-2368 | |
(859) 626-3412 | |
(859) 626-3663 |
Full Name | William L Cooper |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 103 Alycia Dr, Richmond, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568492098 | NPI | - | NPPES |
000000217321 | Other | KY | ANTHEM BLUE CROSS PIN |
C64416 | Other | KY | BLUEGRASS FAMILY HEALTH |
64158454 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 15845 (Kentucky) | Primary |
Entity Name | Elite Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942208319 PECOS PAC ID: 2466496880 Enrollment ID: O20150311002147 |
Mailing Address | Practice Location Address |
---|---|
William L Cooper, MD 103 Alycia Dr, Richmond, KY 40475-2368 Ph: (859) 626-3412 | William L Cooper, MD 103 Alycia Dr, Richmond, KY 40475-2368 Ph: (859) 626-3412 |
Mr. Timothy E Dineen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Alycia Drive, Richmond, KY 40475 Phone: 859-626-1504 Fax: 859-626-3663 | |
Jeniffer Lynn Huhn, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 793 Eastern Byp, Suite G2, Richmond, KY 40475 Phone: 859-626-0074 Fax: 859-626-3265 | |
Benjamin Homer Mcquaide, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 781 Eastern Byp, Richmond, KY 40475 Phone: 859-623-8827 Fax: 859-623-8810 | |
Dr. John R Simmons, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 793 Eastern Byp, G2, Richmond, KY 40475 Phone: 859-626-0074 Fax: 859-626-3265 | |
Dr. Farah Ian Brown, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Alycia Dr, Richmond, KY 40475 Phone: 855-672-3888 Fax: 855-672-3888 | |
Sandra L. Swayze, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 793 Eastern Byp, Suite G2, Richmond, KY 40475 Phone: 859-626-0074 Fax: 859-626-3265 |