Damoder R Kesireddy, MD | |
433 W High St, Bryan, OH 43506-1690 | |
(419) 630-2028 | |
(419) 630-2029 |
Full Name | Damoder R Kesireddy |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 49 Years |
Location | 433 W High St, Bryan, Ohio |
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 |
---|---|---|---|
1134173925 | NPI | - | NPPES |
458277 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | 35046277 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospitals And Wellness Centers | Bryan, OH | Hospital |
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Hospitals And Wellness Centers | 7517878093 | 54 |
Entity Name | Midwest Community Health Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619915170 PECOS PAC ID: 0941114250 Enrollment ID: O20031231000726 |
Entity Name | Community Hospitals And Wellness Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225167893 PECOS PAC ID: 7517878093 Enrollment ID: O20040226001067 |
Mailing Address | Practice Location Address |
---|---|
Damoder R Kesireddy, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Damoder R Kesireddy, MD 433 W High St, Bryan, OH 43506-1690 Ph: (419) 630-2028 |
Lamberto Diaz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 442 W High St, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438 | |
Divya Goutam Vijendra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 | |
Dr. Scott A. Frederick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 | |
Dr. Michael D Castillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2028 Fax: 419-630-2029 | |
Dr. Philip A Lowry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2291 Fax: 419-630-2181 | |
Mahmoud H Afifi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 |