| Loi T Vu, MD | |
|
7420 Guthrie Dr N Ste 105, Southaven, MS 38671-5857 | |
| (662) 349-4321 | |
| (662) 349-3263 |
| Full Name | Loi T Vu |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 7420 Guthrie Dr N Ste 105, Southaven, Mississippi |
| 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 |
|---|---|---|---|
| 1043258247 | NPI | - | NPPES |
| 131186001 | Medicaid | AR | |
| 3802782 | Medicaid | TN | |
| 00117025 | Medicaid | MS | |
| 208493304 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD028110 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 19928 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Mississippi Radiology Services Llc | 0345574026 | 17 |
| Entity Name | North Mississippi Radiology Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184185092 PECOS PAC ID: 0345574026 Enrollment ID: O20190701000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Loi T Vu, MD 2527 Cranberry Hwy, Wareham, MA 02571-1046 Ph: (800) 841-5200 | Loi T Vu, MD 7420 Guthrie Dr N Ste 105, Southaven, MS 38671-5857 Ph: (662) 349-4321 |
Samuel Grady Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Physicians Ln, Southaven, MS 38671 Phone: 662-655-2136 Fax: 662-996-2214 | |
Shadell Cater, RDMS,RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 7165 Swinnea Rd Bldg B2, Southaven, MS 38671 Phone: 662-612-4658 | |
Omar F Ghandour, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2130 Fax: 662-772-2131 |