| Dr Pho M Nguyen, MD | |
|
613 23rd St Ste 520, Ashland, KY 41101-2878 | |
| (606) 393-0190 | |
| (606) 393-5169 |
| Full Name | Dr Pho M Nguyen |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 26 Years |
| Location | 613 23rd St Ste 520, Ashland, Kentucky |
| 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 |
|---|---|---|---|
| 1447217328 | NPI | - | NPPES |
| 3810012582 | Medicaid | WV | |
| 2658815 | Medicaid | OH | |
| 7100031820 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35083806 (Ohio) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 41780 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ashland Hospital Corporation | 7719882521 | 158 |
| Ashland Hospital Corporation | 7719882521 | 158 |
| Entity Name | Ashland Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851346720 PECOS PAC ID: 7719882521 Enrollment ID: O20040205001138 |
| Entity Name | Kings Daughters Medical Specialties Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497083539 PECOS PAC ID: 6103968029 Enrollment ID: O20100114000813 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pho M Nguyen, MD Po Box 1595, Ashland, KY 41105-1595 Ph: (606) 408-6200 | Dr Pho M Nguyen, MD 613 23rd St Ste 520, Ashland, KY 41101-2878 Ph: (606) 393-0190 |
Eugene R Degiorgio, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Saint Christopher Dr, Ashland, KY 41101 Phone: 606-833-2273 | |
Garrick Todd Sherman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-6212 | |
Anshu K Jain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 122 Saint Christopher Dr, Ashland, KY 41101 Phone: 606-836-0202 | |
Mayola W Boykin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Robert Ray Penkava, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Dr. Dhirenkumar Desai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Mr. David Matthew Pierce Ii, ARDMS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-0715 |