Dr John C Dethoff, MD | |
11 Fairlane Rd, Reading, PA 19606-9567 | |
(610) 779-2663 | |
(610) 779-3367 |
Full Name | Dr John C Dethoff |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 11 Fairlane Rd, Reading, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366440810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD022214E (Pennsylvania) | Primary |
Entity Name | Keystone Orthopaedic Specialists,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255666012 PECOS PAC ID: 2062547920 Enrollment ID: O20100317000260 |
Mailing Address | Practice Location Address |
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Dr John C Dethoff, MD 11 Fairlane Rd, Reading, PA 19606-9567 Ph: (610) 779-2663 | Dr John C Dethoff, MD 11 Fairlane Rd, Reading, PA 19606-9567 Ph: (610) 779-2663 |
Dr. John A Martin Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11 Fairlane Rd, Reading, PA 19606 Phone: 610-779-2663 Fax: 610-779-3367 | |
Christopher Schumacher, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2494 Bernville Rd Ste 205, Reading, PA 19605 Phone: 610-378-2996 Fax: 610-208-8812 | |
Brett Campbell, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2494 Bernville Rd Ste 200, Reading, PA 19605 Phone: 610-378-2996 Fax: 610-208-8812 | |
Dr. John P Stelmach, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11 Fairlane Rd, Reading, PA 19606 Phone: 610-779-2663 Fax: 610-779-3367 | |
Jorge Bustillo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2494 Bernville Road, Suite 205, Reading, PA 19605 Phone: 610-378-2996 Fax: 610-208-8812 | |
Justin Clayton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2494 Bernville Rd, Suite 203, Reading, PA 19605 Phone: 610-378-2996 Fax: 610-208-8812 |