| Samuel Walton Fairbrother, | |
|
210 25th Ave N Ste 1204, Nashville, TN 37203-1620 | |
| (615) 312-0600 | |
| (615) 320-3259 |
| Full Name | Samuel Walton Fairbrother |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 210 25th Ave N Ste 1204, Nashville, Tennessee |
| 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 |
|---|---|---|---|
| 1346530284 | NPI | - | NPPES |
| Q036873 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 56941 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Singing River Health System | Pascagoula, MS | Hospital |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Springhill Medical Center | Mobile, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smb Radiology P A | 9234136060 | 23 |
| Entity Name | Smb Radiology P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609877356 PECOS PAC ID: 9234136060 Enrollment ID: O20061108000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Walton Fairbrother, 210 25th Ave N Ste 1204, Nashville, TN 37203-1620 Ph: (615) 312-0600 | Samuel Walton Fairbrother, 210 25th Ave N Ste 1204, Nashville, TN 37203-1620 Ph: (615) 312-0600 |
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 |