| Mr Brett L Thorstad, MD | |
|
3024 Business Park Cir, Goodlettsville, TN 37072-3132 | |
| (615) 851-6033 | |
| (615) 851-2018 |
| Full Name | Mr Brett L Thorstad |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3024 Business Park Cir, Goodlettsville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568417772 | NPI | - | NPPES |
| 3102002 | Other | TN | BCBS |
| 1509319 | Other | TN | MEDICAID - MTI |
| 1509319 | Medicaid | TN | |
| 4201075 | Other | TN | BCBS TN |
| 2644117 | Other | TN | CIGNA |
| 300106387 | Other | TN | RAILROAD MEDICARE |
| 4291298 | Other | TN | BCBS - MTI |
| 64917941 | Other | KY | KY MEDICAID |
| 1600684 | Other | TN | UNITED HEALTHCARE OF TN |
| 3135871 | Other | TN | BCBS |
| 64917941 | Medicaid | KY | |
| 3080836 | Medicaid | TN | |
| 4076947 | Other | TN | BCBS |
| Entity Name | Nol Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003910688 PECOS PAC ID: 5890608186 Enrollment ID: O20031112000227 |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Entity Name | Clarksville Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043285539 PECOS PAC ID: 6709842529 Enrollment ID: O20041203000396 |
| Entity Name | Middle Tennessee Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770667289 PECOS PAC ID: 5698743706 Enrollment ID: O20110407000702 |
| Entity Name | Wisconsin Radiology Specialists S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568446003 PECOS PAC ID: 2961314091 Enrollment ID: O20190403002179 |
| Entity Name | Adi Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083266761 PECOS PAC ID: 7911236427 Enrollment ID: O20190909003468 |
| Entity Name | Premier Radiology Wisconsin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952951154 PECOS PAC ID: 9537595533 Enrollment ID: O20200312001588 |
| Entity Name | Medical X-ray Consultants,ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386601383 PECOS PAC ID: 3274447313 Enrollment ID: O20210211001307 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brett L Thorstad, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 | Mr Brett L Thorstad, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 |
Mr. Marc G Soble, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Melinda Rixey Sava, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Mr. Lawrence D Lubow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. John J Nisbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-234-1502 | |
Mr. Michael C Ellis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Jonathan Paul Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Matthew Renaud Bernhard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 |