| Douglas Kerin, MD | |
|
3301 W Main Pl, Russellville, AR 72801-2334 | |
| (479) 968-7930 | |
| (479) 968-1673 |
| Full Name | Douglas Kerin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 47 Years |
| Location | 3301 W Main Pl, Russellville, Arkansas |
| 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 |
|---|---|---|---|
| 1255391389 | NPI | - | NPPES |
| 117042001 | Medicaid | AR | |
| 52506 | Other | AR | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | N7605 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Drew Memorial Hospital | Monticello, AR | Hospital |
| Ashley County Medical Center | Crossett, AR | Hospital |
| Chicot Memorial Medical Center | Lake village, AR | Hospital |
| Delta Memorial Hospital | Dumas, AR | Hospital |
| Mcgehee Hospital | Mcgehee, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Medical Group | 5698758803 | 205 |
| James Leonard Workman Jr, Pa | 6103990304 | 3 |
| James Leonard Workman Jr, Pa | 6103990304 | 3 |
| James Leonard Workman Jr, Pa | 6103990304 | 3 |
| Entity Name | Radiologists Of Russellville Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699744326 PECOS PAC ID: 4385741685 Enrollment ID: O20070522000192 |
| Entity Name | James Leonard Workman Jr, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023294030 PECOS PAC ID: 6103990304 Enrollment ID: O20080806000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Kerin, MD Po Box 9178, Russellville, AR 72811-9178 Ph: (479) 968-7930 | Douglas Kerin, MD 3301 W Main Pl, Russellville, AR 72801-2334 Ph: (479) 968-7930 |
Dr. Darrell Louie Speed, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-964-9118 Fax: 479-964-9491 | |
Ashley L Burnham, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3301 W Main Pl, Russellville, AR 72801 Phone: 479-968-7930 Fax: 479-968-1673 | |
Jeffrey Hale, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 W Main Pl, Russellville, AR 72801 Phone: 479-968-7930 Fax: 479-968-1673 | |
Daniel E Magill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 W Main Pl, Russellville, AR 72801 Phone: 479-968-7930 Fax: 479-968-1673 | |
James Cherry, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3205 West Main, Russellville, AR 72801 Phone: 479-968-8279 Fax: 479-968-4331 | |
Samuel L Hughes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-964-9119 |