| Khoa Dang Nguyen, MD | |
|
1499 Fair Road, Statesboro, GA 30458 | |
| (912) 486-1533 | |
| (912) 871-2396 |
| Full Name | Khoa Dang Nguyen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 1499 Fair Road, Statesboro, Georgia |
| 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 |
|---|---|---|---|
| 1821082421 | NPI | - | NPPES |
| 002515 | Other | GA | BLUE CROSS |
| P00061112 | Other | RAILROAD MEDICARE | |
| 30017056 | Other | GA | KEYSTONE MERCY |
| 889490068A | Medicaid | GA | |
| 889490068C | Medicaid | GA | |
| G53793 | Medicaid | SC |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Georgia Regional Medical Center | Statesboro, GA | Hospital |
| Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
| Valley Hospital Medical Center | Las vegas, NV | Hospital |
| West Valley Medical Center | Caldwell, ID | Hospital |
| Jefferson Hospital | Louisville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Dominion Imaging Llc | 4688003445 | 48 |
| East Georgia Radiology Llc | 7315040698 | 29 |
| Universal Radiology Partners Of Nevada Llc | 5799295259 | 39 |
| Ancillary Services Of Practice Associates Pa | 4981026192 | 101 |
| Renew Medical Group Of Idaho Pc | 4082132154 | 2 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20040115000095 |
| Entity Name | East Georgia Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003973207 PECOS PAC ID: 7315040698 Enrollment ID: O20070306000531 |
| Entity Name | Radiology Associates Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083491906 PECOS PAC ID: 3779932959 Enrollment ID: O20240214003811 |
| Entity Name | West Virginia Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093550915 PECOS PAC ID: 9133666431 Enrollment ID: O20240821003427 |
| Entity Name | University Medical Center Of Southern Nevada |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548393127 PECOS PAC ID: 7315934429 Enrollment ID: O20241216001015 |
| Entity Name | Dominion Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336623123 PECOS PAC ID: 4688003445 Enrollment ID: O20250321003646 |
| Mailing Address | Practice Location Address |
|---|---|
| Khoa Dang Nguyen, MD P.o. Box 3578, Augusta, GA 30914-3578 Ph: (706) 737-4575 | Khoa Dang Nguyen, MD 1499 Fair Road, Statesboro, GA 30458 Ph: (912) 486-1533 |
Dr. Colin A. Dodds, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1633 | |
Thad D Long, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1601 Fair Rd, Suite 1100, Statesboro, GA 30458 Phone: 678-469-0007 Fax: 321-206-0834 | |
George Peter Piros, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1620 Fax: 912-871-2423 | |
Dr. Janine M Dodds, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Road, Statesboro, GA 30458 Phone: 912-486-1533 Fax: 912-871-2396 | |
Dr. Benjamin Dane Cahan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1636 |