Dr Kyle Jordan Duckett, DO | |
999 Illinois Ave, Maumee, OH 43537-1715 | |
(419) 893-5591 | |
Not Available |
Full Name | Dr Kyle Jordan Duckett |
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Gender | Male |
Speciality | Surgery |
Location | 999 Illinois Ave, Maumee, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205374113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 34.016421 (Ohio) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Northern Ohio Medical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214 |
Entity Name | Northwest Surgical Specialists, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568489516 PECOS PAC ID: 2062446677 Enrollment ID: O20050922001233 |
Entity Name | Mercy Health Physicians North Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
Mailing Address | Practice Location Address |
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Dr Kyle Jordan Duckett, DO 999 Illinois Ave, Maumee, OH 43537-1715 Ph: (419) 893-5591 | Dr Kyle Jordan Duckett, DO 999 Illinois Ave, Maumee, OH 43537-1715 Ph: (419) 893-5591 |
Dr. Darrell Kennedy Evans Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5871 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8376 Fax: 419-887-8789 | |
Mrs. Anita Lucia Antoniolli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5705 Monclova Rd Ste 203, Maumee, OH 43537 Phone: 419-893-7812 Fax: 419-893-7815 | |
Dr. Beth A White, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 Illinois Ave, Maumee, OH 43537 Phone: 419-893-5591 Fax: 419-893-0162 | |
Mirza Shahzad Hasan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 Illinois Ave, Maumee, OH 43537 Phone: 419-893-5591 Fax: 419-893-0162 | |
Dr. Dimitrios N Xanthakos, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6811 Hickory Hill Dr, Maumee, OH 43537 Phone: 419-865-6548 Fax: 419-865-6528 | |
Dr. Robert K Morris, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5757 Monclova Rd, Suite 26, Maumee, OH 43537 Phone: 419-897-9045 Fax: 866-205-0449 |