| Dr Brian P Cornnell, MD | |
|
1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | |
| (727) 381-1000 | |
| Not Available |
| Full Name | Dr Brian P Cornnell |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1501 Pasadena Ave S, South Pasadena, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619966520 | NPI | - | NPPES |
| 043847200 | Medicaid | FL | |
| 300017097 | Other | FL | RR MEDICARE |
| 02090 | Other | FL | BLUE CROSS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME0042908 (Florida) | Primary |
| Entity Name | Sheridan Radiology Services Of Pinellas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609211432 PECOS PAC ID: 7517119407 Enrollment ID: O20121128000124 |
| Entity Name | Radiology Physician Solutions Of West Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104205046 PECOS PAC ID: 3577876218 Enrollment ID: O20150723008463 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian P Cornnell, MD Po Box 14609, Clearwater, FL 33766-4609 Ph: (727) 793-9300 | Dr Brian P Cornnell, MD 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 Ph: (727) 381-1000 |
Dr. James G. Arterburn, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Pasadena Ave S, South Pasadena, FL 33707 Phone: 727-381-1000 | |
Jeffrey Naids, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1501 Pasadena Ave S, South Pasadena, FL 33707 Phone: 727-381-1000 |