Kent D Sanders, MD | |
3000 Mack Rd, Fairfield, OH 45014-5335 | |
(513) 870-7001 | |
(513) 603-8174 |
Full Name | Kent D Sanders |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3000 Mack Rd, Fairfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457390049 | NPI | - | NPPES |
000000385327 | Other | OH | BCBS FAIRFIELD |
0534185 | Medicaid | OH | |
P00315085 | Other | RR MEDICARE FAIRFIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35049641 (Ohio) | Primary |
Entity Name | Emergency Professional Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
---|---|
Kent D Sanders, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Kent D Sanders, MD 3000 Mack Rd, Fairfield, OH 45014-5335 Ph: (513) 870-7001 |
Dr. Eduardo Soloria, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2405 Clara Bea Ln, Fairfield, OH 45014 Phone: 513-829-4786 | |
Dr. Kevin Gregory-go Belen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000 | |
Douglas Krejsa, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7001 Fax: 937-619-4150 | |
Thomas E Syzek, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7001 Fax: 513-603-8174 | |
William Ellis Tucker, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5108 Sandy Ln, Fairfield, OH 45014 Phone: 833-510-4357 | |
Kenneth H Koster, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7001 Fax: 513-603-8174 | |
Mariano Z Tandoc, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7001 Fax: 513-603-8174 |