| Mark A Talley, MD | |
|
210 25th Ave N Ste 602, Nashville, TN 37203 | |
| (615) 312-1479 | |
| (615) 320-3259 |
| Full Name | Mark A Talley |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 210 25th Ave N Ste 602, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235164468 | NPI | - | NPPES |
| 300050345 | Other | TN | RR MCARE-ADR |
| 300063281 | Other | TN | RR MCARE-CI |
| 3029755 | Other | TN | ADR BC/BS OF TN |
| 3036089 | Medicaid | TN | |
| 009932806 | Medicaid | AL | |
| 3049719 | Other | TN | PLAZA BC/BS OF TN |
| 000674561 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 17819 (Tennessee) | Primary |
| Entity Name | Plaza Radiology,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609836584 PECOS PAC ID: 3971409160 Enrollment ID: O20031209000606 |
| Entity Name | Associates In Diagnostic Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437119328 PECOS PAC ID: 4385537786 Enrollment ID: O20040207000083 |
| Entity Name | Mobile Images Acquisition, Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1245471614 PECOS PAC ID: 9931102712 Enrollment ID: O20071113000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Talley, MD 210 25th Ave N Ste 602, Nashville, TN 37203-1631 Ph: (615) 312-1479 | Mark A Talley, MD 210 25th Ave N Ste 602, Nashville, TN 37203 Ph: (615) 312-1479 |
Dr. Paul Allen Rosenblatt, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4220 Harding Road, Rudy Cancer Center, Nashville, TN 37205 Phone: 615-222-6755 Fax: 615-222-3567 | |
Arthur Fleischer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Cari L Motuzas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1161 21st Ave S, Ccc-1121 Med Ctr N, Department Of Radiology, Nashville, TN 37232 Phone: 615-322-3780 | |
John O Nunes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 25th Ave N Ste 1204, Nashville, TN 37203 Phone: 615-312-0600 | |
Dr. Christopher C Ng, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 25th Ave N Ste 1204, Nashville, TN 37203 Phone: 615-312-0600 | |
Jennifer Leslie Robinson Williams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Robert J Stallworth, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 210 25th Ave N Ste 602, Nashville, TN 37203 Phone: 615-312-0600 Fax: 615-320-3259 |