| Rastislav Osadsky, MD | |
|
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (270) 412-9833 | |
| Not Available |
| Full Name | Rastislav Osadsky |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093775520 | NPI | - | NPPES |
| 0477398 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2017014177 (Missouri) | Primary |
| Entity Name | Associated Radiologists, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215931290 PECOS PAC ID: 8123009941 Enrollment ID: O20170914002869 |
| Mailing Address | Practice Location Address |
|---|---|
| Rastislav Osadsky, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: () - | Rastislav Osadsky, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 412-9833 |
Ryan Grippo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8333 | |
Adam Moeck, Radiology Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 123-456-7891 | |
Dr. Scott A Raber, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Dr. Stephen Michael Melnyk, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Minh Kenney, Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Drive, Department Of Radiology, Fort Campbell, KY 42223 Phone: 270-798-8388 | |
Trevor James Reitz, Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 561-704-6588 |