| Mrs Iantha Lucille Allton, MD | |
|
3024 Business Park Cir, Goodlettsville, TN 37072-3132 | |
| (615) 851-6033 | |
| (615) 851-2018 |
| Full Name | Mrs Iantha Lucille Allton |
|---|---|
| Gender | Female |
| 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 |
|---|---|---|---|
| 1851339634 | NPI | - | NPPES |
| 1509268 | Medicaid | TN | |
| 3338877 | Medicaid | TN | |
| 4200560 | Other | TN | BCBS TN |
| 4291492 | Other | TN | BCBS - MTI |
| 7100039390 | Medicaid | KY | |
| 4133805 | Other | TN | BCBS |
| 4133808 | Other | TN | BCBS |
| 3338876 | Medicaid | TN | |
| 1509268 | Other | TN | MEDICAID - TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 41015 (Tennessee) | Primary |
| Entity Name | Imrad Of Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457816522 PECOS PAC ID: 2860726981 Enrollment ID: O20190624002726 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Iantha Lucille Allton, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 | Mrs Iantha Lucille Allton, 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 |