| Dr Shelley S Bath, MD | |
|
14 Locust Dr, Middleport, NY 14105-1310 | |
| (716) 989-9325 | |
| Not Available |
| Full Name | Dr Shelley S Bath |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 14 Locust Dr, Middleport, New York |
| 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 |
|---|---|---|---|
| 1982866877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 249150 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A105524 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pikeville Medical Center | Pikeville, KY | Hospital |
| Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
| Clark Regional Medical Center | Winchester, KY | Hospital |
| Georgetown Community Hospital | Georgetown, KY | Hospital |
| Meadowview Regional Medical Center | Maysville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Alliance Pc | 1850280470 | 301 |
| Pikeville Medical Center Inc | 6709790157 | 384 |
| Virtual Radiologic Professionals Of California Pa | 7719989342 | 57 |
| Entity Name | Virtual Radiologic Professionals Of California Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881792166 PECOS PAC ID: 7719989342 Enrollment ID: O20070209000351 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20130603000012 |
| Entity Name | Pikeville Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083491955 PECOS PAC ID: 6709790157 Enrollment ID: O20231110000842 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shelley S Bath, MD 14 Locust Dr, Middleport, NY 14105-1310 Ph: (716) 989-9325 | Dr Shelley S Bath, MD 14 Locust Dr, Middleport, NY 14105-1310 Ph: (716) 989-9325 |