| Dr Kenneth Joe Richardson, MD | |
|
1825 Park Place, Montgomery, AL 36117-3439 | |
| (334) 293-8747 | |
| (334) 834-2185 |
| Full Name | Dr Kenneth Joe Richardson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 37 Years |
| Location | 1825 Park Place, Montgomery, Alabama |
| 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 |
|---|---|---|---|
| 1861477127 | NPI | - | NPPES |
| 000035670 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 00019405 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hampton Roads Radiology Associates Pc | 4880688506 | 34 |
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Entity Name | Radiology Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508965542 PECOS PAC ID: 3274431481 Enrollment ID: O20031226000124 |
| Entity Name | Virtual Radiologic Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20120723000066 |
| Entity Name | Hampton Roads Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174533624 PECOS PAC ID: 4880688506 Enrollment ID: O20230519002438 |
| 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: O20240916003184 |
| Entity Name | Kaleida Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427870070 PECOS PAC ID: 7810805280 Enrollment ID: O20250130003123 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Joe Richardson, MD 1825 Park Place, Montgomery, AL 36117-3439 Ph: (334) 293-8747 | Dr Kenneth Joe Richardson, MD 1825 Park Place, Montgomery, AL 36117-3439 Ph: (334) 293-8747 |
Dr. David C Montiel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2055 Normandie Dr, Suite 108, Montgomery, AL 36111 Phone: 334-288-4624 Fax: 334-280-3628 | |
Dr. Jason H Dorey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2055 Normandie Dr, 108, Montgomery, AL 36111 Phone: 334-288-4624 Fax: 334-280-3628 | |
Dr. Oscar Padilla Orille, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2055 Normandie Dr, Suite 108, Montgomery, AL 36111 Phone: 334-288-4624 Fax: 334-280-3628 | |
Dr. George H. Wakefield Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Park Pl, Montgomery, AL 36106 Phone: 334-293-8747 | |
Dr. Alexander C Whitley, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4143 Carmichael Rd, Montgomery, AL 36106 Phone: 334-395-2200 Fax: 334-395-2290 | |
Dr. Byron C Machen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2055 Normandie Dr, 108, Montgomery, AL 36111 Phone: 334-288-4624 Fax: 334-280-3628 | |
Dr. Patrick T Rucker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4145 Carmichael Rd, Montgomery, AL 36106 Phone: 334-273-2320 Fax: 334-273-2386 |