Dr Jack Mark Bernstein, MD | |
3533 Southern Blvd Ste 4200, Kettering, OH 45429-1272 | |
(937) 572-7648 | |
(937) 832-8279 |
Full Name | Dr Jack Mark Bernstein |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 3533 Southern Blvd Ste 4200, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043212772 | NPI | - | NPPES |
0438922 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 35-055759 (Ohio) | Primary |
Entity Name | Infectious Diseases Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023061207 PECOS PAC ID: 3476454331 Enrollment ID: O20040115000252 |
Mailing Address | Practice Location Address |
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Dr Jack Mark Bernstein, MD 3533 Southern Blvd Ste 4200, Kettering, OH 45429-1272 Ph: (937) 572-7648 | Dr Jack Mark Bernstein, MD 3533 Southern Blvd Ste 4200, Kettering, OH 45429-1272 Ph: (937) 572-7648 |
Dr. Heather D Riggs Carter, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Bvld., Ste. 401, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3913 | |
Dr. Jeremy Lawton Chapman, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Saleem Ahmad, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 540 Lincoln Park Blvd, Suite 200, Kettering, OH 45429 Phone: 937-298-8058 Fax: 937-298-5638 | |
Calvert Raymond Busch, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 1380 E Stroop Rd, Kettering, OH 45429 Phone: 937-293-3486 Fax: 937-293-3605 | |
Dr. Hemant M Shah, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd Ste 5800, Kettering, OH 45429 Phone: 937-439-3600 Fax: 937-741-8366 | |
Martin Burbank, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-384-6800 Fax: 937-384-6938 | |
Naveen K Vijayam, Infectious Disease Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 |