| Dr Paul L Chesis, MD | |
|
1675 E Main St, Box 328, Kent, OH 44240-5818 | |
| (330) 593-1049 | |
| (330) 572-3836 |
| Full Name | Dr Paul L Chesis |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 1675 E Main St, Kent, Ohio |
| 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 |
|---|---|---|---|
| 1275537839 | NPI | - | NPPES |
| 100285030C | Medicaid | KS | |
| P00475725 | Other | MO | RAILROAD MEDICARE |
| 100285030E | Medicaid | KS | |
| 23979028 | Other | MO | BCBS OF KC MO |
| 100285030D | Medicaid | KS | |
| 0098946 | Medicaid | OH | |
| 23979118 | Other | MO | BCBS KC GRP#18959016 |
| 203108634 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 35.122933 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Pekin Memorial Hospital | Pekin, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialists In Medical Imaging Sc | 2163733544 | 205 |
| Entity Name | Specialists In Medical Imaging Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20150626000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul L Chesis, MD 1675 E Main St, Box 328, Kent, OH 44240-5818 Ph: (330) 593-1049 | Dr Paul L Chesis, 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. 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 |