| Dr James Alexander, MD | |
| 1675 E Main St, Box 328, Kent, OH 44240-5818 | |
| (330) 593-1049 | |
| (330) 572-3836 | 
| Full Name | Dr James Alexander | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 1675 E Main St, Kent, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720177207 | NPI | - | NPPES | 
| 0152592 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35.122977 (Ohio) | Primary | 
| Entity Name | Millennium Medical Imaging Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235114182 PECOS PAC ID: 5799776910 Enrollment ID: O20040518001125 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr James Alexander, MD 1720 Cooper Foster Park Rd W, Lorain, OH 44053-4200 Ph: (440) 989-4480 | Dr James Alexander, 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 | |
| Dr. Antonio Carlos Bernaud Burnett, M.D. 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 |