| Grant Douglas Petty, MD | |
|
3448 Us Route 60, Huntington, WV 25705-2906 | |
| (304) 522-1550 | |
| (304) 522-0704 |
| Full Name | Grant Douglas Petty |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 3448 Us Route 60, Huntington, West Virginia |
| 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 |
|---|---|---|---|
| 1154438315 | NPI | - | NPPES |
| 7389831 | Other | AETNA | |
| 2732556 | Medicaid | OH | |
| 7100014760 | Medicaid | KY | |
| P00413759 | Other | WV | RR MEDICARE |
| 000000221879 | Other | OH | UNISON |
| 3810008705 | Medicaid | WV | |
| 50017454 | Other | KY | PASSPORT |
| 001962777 | Other | WV | MTN ST BCBS |
| 550493376 00 | Other | WV | WV WORKER'S COMPENSATION |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Medical Center | Huntington, WV | Hospital |
| Cabell Huntington Hospital Inc | Huntington, WV | Hospital |
| Logan Regional Medical Center | Logan, WV | Hospital |
| Pleasant Valley Hospital | Point pleasant, WV | Hospital |
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Inc | 2365340429 | 28 |
| Radiology Inc | 2365340429 | 28 |
| Radiology Inc | 2365340429 | 28 |
| Entity Name | Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457339277 PECOS PAC ID: 2365340429 Enrollment ID: O20040129001192 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Douglas Petty, MD Po Box 910, Huntington, WV 25712-0910 Ph: (304) 522-1550 | Grant Douglas Petty, MD 3448 Us Route 60, Huntington, WV 25705-2906 Ph: (304) 522-1550 |
Torin Patrick Walters, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3448 Us Route 60, Huntington, WV 25705 Phone: 304-522-1550 Fax: 304-522-0704 | |
Joseph Werner Dransfeld, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5221 Us Route 60 E, Radiology Inc, Huntington, WV 25705 Phone: 304-522-1550 Fax: 304-522-0704 | |
Dr. Joshua Dale Gibson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3448 Us Route 60, Huntington, WV 25705 Phone: 304-522-1550 Fax: 304-522-1073 | |
Hans Gerhard Dransfeld, MD Radiology Medicare: Medicare Enrolled Practice Location: 5221 Us Route 60 E, Radiology Inc, Huntington, WV 25705 Phone: 304-522-1550 Fax: 304-522-0704 | |
Jill Mcclanahan Justice, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6755 | |
Sanjeev S Sharma, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 1st Ave, Huntington, WV 25702 Phone: 304-526-1143 Fax: 304-526-8945 |