Dr Jacqueline Marie Erdahl, DO | |
1020 Woodman Dr Ste 105, Dayton, OH 45432-1410 | |
(937) 723-7772 | |
(937) 226-9605 |
Full Name | Dr Jacqueline Marie Erdahl |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Location | 1020 Woodman Dr Ste 105, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073074266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 34016439 (Ohio) | Primary |
Entity Name | Bloom Family Eye Surgeons Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649342890 PECOS PAC ID: 9335108554 Enrollment ID: O20050918000031 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacqueline Marie Erdahl, DO 1020 Woodman Dr Ste 105, Dayton, OH 45432-1410 Ph: (937) 723-7772 | Dr Jacqueline Marie Erdahl, DO 1020 Woodman Dr Ste 105, Dayton, OH 45432-1410 Ph: (937) 723-7772 |
Peter Constantine Koumas, DO Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409 Phone: 937-222-3937 Fax: 937-223-5416 | |
Edward Robert Thomas Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409 Phone: 937-222-3937 Fax: 937-223-5416 | |
John C Kunesh, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2601 Far Hills Ave, Dayton, OH 45419 Phone: 937-298-1703 Fax: 937-298-6344 | |
Dr. Scott Michael Pfahler, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 301 W 1st St, Suite 300, Dayton, OH 45402 Phone: 937-228-5015 Fax: 937-228-5971 | |
Dr. Marshall Claude Wareham, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5250 Far Hills Ave, Suite 207, Dayton, OH 45429 Phone: 937-433-2300 Fax: 937-433-0210 | |
Dr. William Joseph Kessler, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2600 Far Hills Ave, Ste 15, Dayton, OH 45419 Phone: 937-294-1159 Fax: 937-294-8836 |