| Dean A Siciliano, MD | |
|
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (740) 446-5289 | |
| (740) 446-5697 |
| Full Name | Dean A Siciliano |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 100 Jackson Pike, Gallipolis, 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 |
|---|---|---|---|
| 1699715300 | NPI | - | NPPES |
| 0247674 | Other | OH | MOLINA MEDICAID # |
| 000000007131 | Other | ANTHEM BCBS | |
| 001714093 | Other | MOUNTAIN STATE BCBS | |
| 300071295 | Other | OH | RR MEDICARE |
| 310917085031 | Other | OH | OH MEDICAID CARESOURCE |
| 000000193128 | Other | OH | UNISON MEDICAID # |
| 0122089000 | Medicaid | WV |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Holzer Medical Center Jackson | Jackson, OH | Hospital |
| St Mary's Medical Center | Huntington, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Holzer Clinic Llc | 5890606008 | 264 |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20040517000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Dean A Siciliano, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5289 | Dean A Siciliano, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5289 |
Steven D. Conley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5697 | |
Subhash Khosla, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 170 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5129 Fax: 740-446-5622 | |
David B. Price, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5289 Fax: 740-446-5697 | |
Manual A. Casanova, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5709 Fax: 740-446-5697 | |
Dr. Kevin M. Mccann, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5890 Fax: 740-446-5532 | |
Bruce L. Pennington, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5289 Fax: 740-446-5697 | |
Dr. Nicholas Mcdonald, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 Fax: 740-446-5697 |