| Lonnie Joseph Bargo, MD | |
|
1 Trillium Way, Corbin, KY 40701-8727 | |
| (606) 523-8542 | |
| (606) 523-8708 |
| Full Name | Lonnie Joseph Bargo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1 Trillium Way, Corbin, Kentucky |
| 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 |
|---|---|---|---|
| 1306000591 | NPI | - | NPPES |
| P01462910 | Other | KY | RR MEDICARE |
| 7100056420 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 43375 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Corbin | Corbin, KY | Hospital |
| Saint Joseph London | London, KY | Hospital |
| Lake Cumberland Regional Hospital | Somerset, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Medical Group Inc | 5597867184 | 2132 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090305000655 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
| Entity Name | Mercy Health Physicians Kentucky Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700408093 PECOS PAC ID: 1456777069 Enrollment ID: O20200813001096 |
| Entity Name | Central Valley Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275523169 PECOS PAC ID: 8628064953 Enrollment ID: O20201120001180 |
| Entity Name | Silicon Valley Diagnostic Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629265806 PECOS PAC ID: 5496838518 Enrollment ID: O20210129001844 |
| Entity Name | St Jude Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649349705 PECOS PAC ID: 7214838002 Enrollment ID: O20210308002102 |
| Entity Name | Shps Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790421089 PECOS PAC ID: 7315325933 Enrollment ID: O20220707003956 |
| Mailing Address | Practice Location Address |
|---|---|
| Lonnie Joseph Bargo, MD Po Box 1325, Corbin, KY 40702-1325 Ph: (606) 526-8131 | Lonnie Joseph Bargo, MD 1 Trillium Way, Corbin, KY 40701-8727 Ph: (606) 523-8542 |
Robin A. Reams, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1707 Cumberland Falls Hwy, Suite U2, Corbin, KY 40701 Phone: 606-523-2200 Fax: 606-528-6653 | |
Dr. Terri L Daniel-chumbley, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Dr. Harold W Reedy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
William T Daniel Ii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: I Trillium Way, Corbin, KY 40701 Phone: 606-526-8122 Fax: 606-526-9555 |