| Charles Mccrory Perme, MD | |
|
2201 Lexington Ave, Ashland, KY 41101-2843 | |
| (606) 408-4000 | |
| (916) 533-0078 |
| Full Name | Charles Mccrory Perme |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 2201 Lexington Ave, Ashland, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720197858 | NPI | - | NPPES |
| 000000978917 | Other | KY | ANTHEM BCBS |
| 64937030 | Medicaid | KY | |
| 0991066 | Medicaid | OH | |
| 300094914 | Other | OH | RAILROAD MEDICARE |
| 000000038020 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35063920 (Ohio) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 30415 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bethesda North | Cincinnati, OH | Hospital |
| Good Samaritan Hospital | Cincinnati, OH | Hospital |
| Mccullough-hyde Memorial Hospital | Oxford, OH | Hospital |
| Christ Hospital | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tristate Img (imaging Medical Group) Inc | 6204732365 | 41 |
| Entity Name | Tristate Img (imaging Medical Group) Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114927209 PECOS PAC ID: 6204732365 Enrollment ID: O20031209001075 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Mccrory Perme, MD 2754 Solution Ctr, Chicago, IL 60677-2007 Ph: (606) 864-9697 | Charles Mccrory Perme, MD 2201 Lexington Ave, Ashland, KY 41101-2843 Ph: (606) 408-4000 |
Eugene R Degiorgio, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Saint Christopher Dr, Ashland, KY 41101 Phone: 606-833-2273 | |
Garrick Todd Sherman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-6212 | |
Anshu K Jain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 122 Saint Christopher Dr, Ashland, KY 41101 Phone: 606-836-0202 | |
Mayola W Boykin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Robert Ray Penkava, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Dr. Dhirenkumar Desai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Mr. David Matthew Pierce Ii, ARDMS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-0715 |