Dr Derrick Lamar Reedus Sr, MD | |
1980 Tamarack Rd, Newark, OH 43055-1363 | |
(220) 564-7520 | |
(220) 564-7521 |
Full Name | Dr Derrick Lamar Reedus Sr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 22 Years |
Location | 1980 Tamarack Rd, Newark, 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 |
---|---|---|---|
1194929463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 35.090640 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Licking Memorial Hospital | Newark, OH | Hospital |
Fairfield Medical Center | Lancaster, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Licking Memorial Professional Corporation | 6204740731 | 202 |
Entity Name | Licking Memorial Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
Entity Name | Kettering Independent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Mailing Address | Practice Location Address |
---|---|
Dr Derrick Lamar Reedus Sr, MD 1320 W Main St, Newark, OH 43055-1822 Ph: (220) 564-4027 | Dr Derrick Lamar Reedus Sr, MD 1980 Tamarack Rd, Newark, OH 43055-1363 Ph: (220) 564-7520 |
Dr. Roy Reginald Brown Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1980 Tamarack Rd, Newark, OH 43055 Phone: 220-564-7520 Fax: 220-564-7521 | |
William Alvin Stallworth, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1272 W Main St Ste 401, Newark, OH 43055 Phone: 220-564-1750 Fax: 220-564-1751 | |
Dr. Donald J Lewis, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1902 Tamarack Rd, Newark, OH 43055 Phone: 740-344-1576 Fax: 740-344-3514 |