| Dr Antonio Carlos Bernaud Burnett, MD | |
|
1675 E Main St, Box 328, Kent, OH 44240-5818 | |
| (330) 593-1049 | |
| (330) 572-3836 |
| Full Name | Dr Antonio Carlos Bernaud Burnett |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 53 Years |
| Location | 1675 E Main St, Kent, Ohio |
| 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 |
|---|---|---|---|
| 1386677698 | NPI | - | NPPES |
| 2873798 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35092187 (Ohio) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME 65635 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| Mercy Regional Medical Center | Lorain, OH | Hospital |
| Coshocton Regional Medical Center | Coshocton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbus Radiology Corp | 6507754983 | 255 |
| Columbus Radiology Corp | 6507754983 | 255 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20181206003284 |
| Entity Name | Radiology Associates Of Canton Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912982034 PECOS PAC ID: 7012829260 Enrollment ID: O20240318001855 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Antonio Carlos Bernaud Burnett, MD 1675 E Main St, Box 328, Kent, OH 44240-5818 Ph: (330) 593-1049 | Dr Antonio Carlos Bernaud Burnett, MD 1675 E Main St, Box 328, Kent, OH 44240-5818 Ph: (330) 593-1049 |
Nancy Ann Hallo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1675 East Main Street, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Dr. Paul L Chesis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Dr. Bert David Collier Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1030 Fax: 330-572-3836 | |
Dr. Jonah Ralph Moon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Dr. Cory Allen Kutlick, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Ralph J Perrico Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1030 Fax: 330-572-3836 |