| Charles Depriest, MD | |
|
210 25th Ave N Ste 1204, Nashville, TN 37203-1620 | |
| (615) 312-0600 | |
| (615) 320-3259 |
| Full Name | Charles Depriest |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 210 25th Ave N Ste 1204, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104911387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD30698 (Tennessee) | Primary |
| Entity Name | Tennessee Oncology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811955917 PECOS PAC ID: 4688586134 Enrollment ID: O20031103000534 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20040312000115 |
| Entity Name | Imaging Alliance Nashville Pet Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1285619270 PECOS PAC ID: 1759343627 Enrollment ID: O20041102000959 |
| Entity Name | One Hundred Oaks Imaging,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245485549 PECOS PAC ID: 1355490756 Enrollment ID: O20090513000651 |
| Entity Name | Lebanon Pet Scan Center Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1114551132 PECOS PAC ID: 9032530233 Enrollment ID: O20200717001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Depriest, MD 1161 21st Ave S, Vumc Dept Of Radiology Ccc-1106 Mcn, Nashville, TN 37232-0011 Ph: (615) 343-1501 | Charles Depriest, MD 210 25th Ave N Ste 1204, Nashville, TN 37203-1620 Ph: (615) 312-0600 |
Dr. Paul Allen Rosenblatt, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4220 Harding Road, Rudy Cancer Center, Nashville, TN 37205 Phone: 615-222-6755 Fax: 615-222-3567 | |
Arthur Fleischer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Cari L Motuzas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1161 21st Ave S, Ccc-1121 Med Ctr N, Department Of Radiology, Nashville, TN 37232 Phone: 615-322-3780 | |
John O Nunes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 25th Ave N Ste 1204, Nashville, TN 37203 Phone: 615-312-0600 | |
Dr. Christopher C Ng, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 25th Ave N Ste 1204, Nashville, TN 37203 Phone: 615-312-0600 | |
Jennifer Leslie Robinson Williams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Robert J Stallworth, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 210 25th Ave N Ste 602, Nashville, TN 37203 Phone: 615-312-0600 Fax: 615-320-3259 |