Lawrence E Udom, MD, MPH | |
2510 Commons Blvd Ste 160, Beavercreek, OH 45431-3834 | |
(937) 425-4015 | |
(937) 425-4014 |
Full Name | Lawrence E Udom |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 2510 Commons Blvd Ste 160, Beavercreek, Ohio |
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 |
---|---|---|---|
1659572527 | NPI | - | NPPES |
0051288 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35095926 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kettering Homecare | Kettering, OH | Home health agency |
Kettering Medical Center | Kettering, OH | Hospital |
Grandview And Southview Hospitals | Dayton, OH | Hospital |
Soin Medical Center | Beaver creek, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Physicians Inc | 0840104360 | 318 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Mailing Address | Practice Location Address |
---|---|
Lawrence E Udom, MD, MPH 2510 Commons Blvd Ste 160, Beavercreek, OH 45431-3834 Ph: (937) 425-4015 | Lawrence E Udom, MD, MPH 2510 Commons Blvd Ste 160, Beavercreek, OH 45431-3834 Ph: (937) 425-4015 |
Nikhil Tej Kurapati, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200 | |
Dr. Maureen Kennedy Perez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 N Fairfield Rd., Ste 110, Beavercreek, OH 45432 Phone: 937-426-0106 Fax: 937-426-7153 | |
Theresia Gordnier, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200 | |
Kevin A Carter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2633 Commons Blvd Ste 110, Beavercreek, OH 45431 Phone: 937-705-6747 Fax: 937-705-6713 | |
Dr. Kate Grayson Meizlish, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 Phone: 937-558-3900 Fax: 937-558-3999 | |
Dr. Gordon S Walbroehl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4172 Indian Ripple Rd, Ste. A, Beavercreek, OH 45440 Phone: 937-431-3779 Fax: 937-431-3776 | |
Dr. Harminder Grewal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200 |