Dr William Lewis Stafford Jr, MD | |
85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
(859) 912-7211 | |
(859) 655-6674 |
Full Name | Dr William Lewis Stafford Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 43 Years |
Location | 85 N Grand Ave, Fort Thomas, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932287174 | NPI | - | NPPES |
64232176 | Medicaid | KY | |
K070350 | Other | KY | KY MEDICARE |
2982812 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23217 (Kentucky) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | 23217 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rosedale Green | Covington, KY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Entity Name | St Elizabeth Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932187937 PECOS PAC ID: 0648174623 Enrollment ID: O20031121000206 |
Mailing Address | Practice Location Address |
---|---|
Dr William Lewis Stafford Jr, MD Po Box 635283, Cincinnati, OH 45263-5446 Ph: (593) 445-5558 | Dr William Lewis Stafford Jr, MD 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (859) 912-7211 |
Dr. Ellen Christine Schwartz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 North Grand Avenue, Fort Thomas, KY 41071 Phone: 859-491-2855 Fax: 859-655-4395 | |
Mara Tomaszewski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 | |
Dr. Bahar Mittal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 | |
Jerry C Sutkamp, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Memorial Pkwy, Fort Thomas, KY 41075 Phone: 859-441-9611 Fax: 859-441-9613 |