Dr Nicholas Mcdonald, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5000 | |
(740) 446-5697 |
Full Name | Dr Nicholas Mcdonald |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 100 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619202744 | NPI | - | NPPES |
0042675 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35.099444 (Ohio) | Primary |
Entity Name | Holzer Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicholas Mcdonald, MD 17273 State Route 104, Chillicothe, OH 45601-9718 Ph: (740) 773-1141 | Dr Nicholas Mcdonald, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5000 |
Steven D. Conley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5697 | |
Subhash Khosla, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 170 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5129 Fax: 740-446-5622 | |
David B. Price, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5289 Fax: 740-446-5697 | |
Manual A. Casanova, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5709 Fax: 740-446-5697 | |
Dr. Kevin M. Mccann, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5890 Fax: 740-446-5532 | |
Bruce L. Pennington, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5289 Fax: 740-446-5697 |