| Susie H Kim-maulsby, MD | |
|
5400 Kennedy Ave, Cincinnati, OH 45213-2664 | |
| (513) 281-3400 | |
| (513) 527-2275 |
| Full Name | Susie H Kim-maulsby |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 5400 Kennedy Ave, Cincinnati, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720083041 | NPI | - | NPPES |
| 271414100 | Medicaid | FL | |
| 64086820 | Medicaid | KY | |
| 2311751 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35-078938 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Naples Community Hospital | Naples, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Proscan Nch Imaging Llc | 6103233051 | 80 |
| Proscan Radiology, Llc | 5799680807 | 51 |
| Entity Name | Nchmd Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831120195 PECOS PAC ID: 9436139565 Enrollment ID: O20040721000254 |
| Entity Name | Proscan Imaging Naples Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114918257 PECOS PAC ID: 5395706444 Enrollment ID: O20070808000767 |
| Entity Name | Proscan Nch Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003406711 PECOS PAC ID: 6103233051 Enrollment ID: O20210322001326 |
| Mailing Address | Practice Location Address |
|---|---|
| Susie H Kim-maulsby, MD 5400 Kennedy Ave, Cincinnati, OH 45213-2664 Ph: (513) 281-3400 | Susie H Kim-maulsby, MD 5400 Kennedy Ave, Cincinnati, OH 45213-2664 Ph: (513) 281-3400 |
Preeyacha Pacharn, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 5031, Cincinnati, OH 45229 Phone: 513-636-4251 | |
Dr. Marc R Mosbacher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 Ivy Gtwy Ste 1100, Cincinnati, OH 45245 Phone: 513-751-2273 | |
Dr. Michael K. Shehata, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5520 Cheviot Rd, Cincinnati, OH 45247 Phone: 513-451-4033 Fax: 513-451-1356 | |
Dr. Rodney P Geier, MD Radiology Medicare: Medicare Enrolled Practice Location: 11140 Montgomery Rd, Cincinnati, OH 45249 Phone: 513-564-8520 Fax: 513-564-8539 | |
James M Meranus, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-965-8041 Fax: 513-965-8091 | |
Doan Vu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Central Credentialing Ml 806, Cincinnati, OH 45219 Phone: 513-585-5508 Fax: 513-585-5511 | |
Sara Medek, Radiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-585-0855 |