| Dr Lisa Ona Ballehr, DO | |
|
8 Cadillac Dr, Suite 200, Brentwood, TN 37027-5087 | |
| (615) 376-7370 | |
| Not Available |
| Full Name | Dr Lisa Ona Ballehr |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 8 Cadillac Dr, Brentwood, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417996018 | NPI | - | NPPES |
| 00AX91110 | Medicaid | CA | |
| 01287729 | Medicaid | CO | |
| 812645 | Medicaid | AZ | |
| 8942215 | Other | WA | L&I CVCP |
| 8461238 | Medicaid | WA | |
| 103I303676 | Medicaid | TN | |
| P00302231 | Other | CA | RAILROAD MEDICARE |
| 1417996018 | Medicaid | NV | |
| P00158822 | Other | AZ | RAILROAD MEDICARE |
| Entity Name | Southwest Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20040507001294 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20091209000071 |
| Entity Name | Diagnostic Imaging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114982808 PECOS PAC ID: 9739087214 Enrollment ID: O20180516000995 |
| Entity Name | Fulton Diagnostic Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417100249 PECOS PAC ID: 5991853806 Enrollment ID: O20200424001902 |
| Entity Name | Shps Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497490056 PECOS PAC ID: 7315325933 Enrollment ID: O20220615001044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Ona Ballehr, DO 308 N Peters Rd, Ste. 225, Knoxville, TN 37922-2356 Ph: (865) 560-8561 | Dr Lisa Ona Ballehr, DO 8 Cadillac Dr, Suite 200, Brentwood, TN 37027-5087 Ph: (615) 376-7370 |
Daniel Bodor, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8 Cadillac Drive, Ste 200, Brentwood, TN 37027 Phone: 615-376-7500 Fax: 615-376-7575 | |
A. Gabrielle Bergman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8 Cadillac Dr, Ste 200, Brentwood, TN 37027 Phone: 615-376-7370 | |
John F Carroll, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8 Cadillac Dr, Suite 200, Brentwood, TN 37027 Phone: 615-376-7370 Fax: 615-376-7575 | |
Dr. Benjamin Adam Eyer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8 Cadillac Dr Ste 200, Brentwood, TN 37027 Phone: 615-376-7370 | |
Ms. Cynthia C Youree, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5223 Country Club Dr, Brentwood, TN 37027 Phone: 615-587-2749 Fax: 615-370-1289 | |
Roger Maurice Kerr, M.D Radiology Medicare: Not Enrolled in Medicare Practice Location: 8 Cadillac Dr, Ste. 200, Brentwood, TN 37027 Phone: 615-376-7370 Fax: 615-376-7575 | |
Dr. Laiandrea Maple Stewart, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5605 Saddlewood Ln, Brentwood, TN 37027 Phone: 952-595-1100 Fax: 612-294-4903 |