Christian Andrew Dewan, | |
350 Thomas More Pkwy, Crestview Hills, KY 41017-5465 | |
(859) 363-2200 | |
Not Available |
Full Name | Christian Andrew Dewan |
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Gender | Male |
Speciality | Urology |
Location | 350 Thomas More Pkwy, Crestview Hills, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326536962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 58281 (Kentucky) | Primary |
Entity Name | Tri State Urologic Services Psc Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396938312 PECOS PAC ID: 6204740889 Enrollment ID: O20031118000285 |
Mailing Address | Practice Location Address |
---|---|
Christian Andrew Dewan, 337 Compton Hills Dr, Cincinnati, OH 45215-4118 Ph: (815) 871-2461 | Christian Andrew Dewan, 350 Thomas More Pkwy, Crestview Hills, KY 41017-5465 Ph: (859) 363-2200 |
Michael William Dusing, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 | |
B Robert Schwartz, MD Urology Medicare: Medicare Enrolled Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 | |
Brian F Shay, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 | |
Edward R Elicker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 | |
James D Williams, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 | |
Christopher Cirulli, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 |