| Dr Stephen Michael Melnyk, MD | |
|
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (270) 798-8400 | |
| Not Available |
| Full Name | Dr Stephen Michael Melnyk |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366886731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD61319320 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 68149 (Tennessee) | Primary |
| Entity Name | Tra-minw P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326 |
| Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Michael Melnyk, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400 | Dr Stephen Michael Melnyk, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400 |
Ryan Grippo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8333 | |
Rastislav Osadsky, MD Radiology Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-9833 | |
Adam Moeck, Radiology Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 123-456-7891 | |
Dr. Scott A Raber, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Minh Kenney, Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Drive, Department Of Radiology, Fort Campbell, KY 42223 Phone: 270-798-8388 | |
Trevor James Reitz, Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 561-704-6588 |