| Dr Brian Richard Decosta, MD | |
|
367 Hospital Blvd, Jackson, TN 38305-2080 | |
| (731) 300-0352 | |
| (901) 753-2896 |
| Full Name | Dr Brian Richard Decosta |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 367 Hospital Blvd, Jackson, Tennessee |
| 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 |
|---|---|---|---|
| 1689620627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 36602 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Tipton | Covington, TN | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Baptist Memorial Hospital Booneville | Booneville, MS | Hospital |
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Baptist Memorial Hospital Union City | Union city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Tennessee Imaging Llc | 3173834215 | 37 |
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 76 |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | 2961547526 | 272 |
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 76 |
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 76 |
| Entity Name | Mid-south Imaging & Therapeutics, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043260763 PECOS PAC ID: 9133106396 Enrollment ID: O20040706000767 |
| Entity Name | Jackson Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699700716 PECOS PAC ID: 6305893231 Enrollment ID: O20050404000399 |
| Entity Name | Memphis Physicians Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134231574 PECOS PAC ID: 9830123736 Enrollment ID: O20050920001274 |
| Entity Name | West Tennessee Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912395708 PECOS PAC ID: 3173834215 Enrollment ID: O20150616002796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Richard Decosta, MD Po Box 11686, Jackson, TN 38308-0128 Ph: (731) 300-0352 | Dr Brian Richard Decosta, MD 367 Hospital Blvd, Jackson, TN 38305-2080 Ph: (731) 300-0352 |
Timothy Ray Crossett, MD Radiology Medicare: Medicare Enrolled Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-425-6274 | |
Dr. Jack R Allison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0329 | |
Carson Kisner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Physicians Dr, Jackson, TN 38305 Phone: 731-240-1747 Fax: 731-240-1755 | |
Dr. Allen L Schlamp, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-660-8759 | |
Dr. James Lee Ellis Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Drive, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-541-8008 | |
Mr. Adam Lee Summerlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-6174 Fax: 731-541-8008 | |
Paige Maurer, Radiology Medicare: May Accept Medicare Assignments Practice Location: 31 Sandstone Cir, Jackson, TN 38305 Phone: 731-240-1747 |