Dr Brian Richard Decosta, MD - Medicare Diagnostic Radiology in Jackson, TN

Dr Brian Richard Decosta, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jackson, Tennessee. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mid-south Imaging And Therapeutics, P.a., West Tennessee Imaging Llc, Mid-south Imaging And Therapeutics, P.a., Northeast Arkansas Clinic Charitable Foundation, Inc., Mid-south Imaging And Therapeutics, P.a. and his current practice location is 367 Hospital Blvd, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 300-0352.

Dr Brian Richard Decosta is licensed to practice in Tennessee (license number 36602) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689620627.

Contact Information

Dr Brian Richard Decosta, MD
367 Hospital Blvd,
Jackson, TN 38305-2080
(731) 300-0352
(901) 753-2896

Map and Direction




Physician's Profile

Full NameDr Brian Richard Decosta
GenderMale
SpecialityDiagnostic Radiology
Experience27 Years
Location367 Hospital Blvd, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brian Richard Decosta graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1689620627
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 05/06/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0143299610
  • Enrollment ID: I20040930000935

Medical Identifiers

Medical identifiers for Dr Brian Richard Decosta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689620627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 36602 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial HospitalMemphis, TNHospital
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, ARHospital
Baptist Memorial Hospital TiptonCovington, TNHospital
Baptist Memorial Hospital BoonevilleBooneville, MSHospital
Baptist Memorial Hospital DesotoSouthaven, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid-south Imaging And Therapeutics, P.a.913310639663
West Tennessee Imaging Llc317383421534
Mid-south Imaging And Therapeutics, P.a.913310639663
Northeast Arkansas Clinic Charitable Foundation, Inc.2961547526228
Mid-south Imaging And Therapeutics, P.a.913310639663

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Brian Richard Decosta allows following entities to bill medicare on his behalf.
Entity NameMid-south Imaging & Therapeutics, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043260763
PECOS PAC ID: 9133106396
Enrollment ID: O20040706000767
Entity NameJackson Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699700716
PECOS PAC ID: 6305893231
Enrollment ID: O20050404000399
Entity NameMemphis Physicians Radiological Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134231574
PECOS PAC ID: 9830123736
Enrollment ID: O20050920001274
Entity NameWest Tennessee Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912395708
PECOS PAC ID: 3173834215
Enrollment ID: O20150616002796

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brian Richard Decosta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.