Charles E Caldwell Jr, MD | |
8726 Us Hwy 42, Florence, KY 41042 | |
(859) 647-2900 | |
(859) 647-0140 |
Full Name | Charles E Caldwell Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 8726 Us Hwy 42, Florence, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750347001 | NPI | - | NPPES |
64180052 | Medicaid | KY | |
2151273 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35072833 (Ohio) | Secondary |
207Q00000X | Family Medicine | 18005 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Charles E Caldwell Jr, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 442-6600 | Charles E Caldwell Jr, MD 8726 Us Hwy 42, Florence, KY 41042 Ph: (859) 647-2900 |
Rebecca Agnes Wilshere, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7309 Us Highway 42, Florence, KY 41042 Phone: 859-282-1241 Fax: 859-282-7087 | |
Elizabeth N Velazquez-noll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7766 Ewing Blvd, Suite L, Florence, KY 41042 Phone: 859-371-1153 Fax: 859-647-5113 | |
Dr. Shivam Ram Kedia, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7766 Ewing Blvd, Florence, KY 41042 Phone: 859-371-1153 Fax: 859-647-5113 | |
Melissa G Erickson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 68 Cavalier Boulevard, Florence, KY 41042 Phone: 859-594-1010 Fax: 859-372-5004 | |
Dr. Bradley George Gray, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8726 Us Highway 42, Florence, KY 41042 Phone: 859-384-2660 Fax: 859-384-5248 | |
David Littrell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7370 Turfway Rd, Suite 100, Florence, KY 41042 Phone: 859-212-4700 Fax: 859-212-4761 | |
David Michael Banks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-212-0003 Fax: 859-344-5553 |