Richard E Broder-oldach, DO | |
150 Health Partner Circle, Mount Orab, OH 45154-9422 | |
(937) 444-2514 | |
(937) 444-4818 |
Full Name | Richard E Broder-oldach |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 150 Health Partner Circle, Mount Orab, 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 |
---|---|---|---|
1689679326 | NPI | - | NPPES |
080076704 | Other | OH | RAILROAD |
2066642 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34006887 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohio Valley Manor Home Health | Ripley, OH | Home health agency |
Mercy Health - Clermont Hospital | Batavia, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthsource Of Ohio, Inc. | 2264328749 | 46 |
Entity Name | Healthsource Of Ohio, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275966863 PECOS PAC ID: 2264328749 Enrollment ID: O20140521002611 |
Mailing Address | Practice Location Address |
---|---|
Richard E Broder-oldach, DO 424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966 Ph: (513) 707-4041 | Richard E Broder-oldach, DO 150 Health Partner Circle, Mount Orab, OH 45154-9422 Ph: (937) 444-2514 |
Ibthaj Ur Rehman Khilji, Family Medicine Medicare: Medicare Enrolled Practice Location: 217 Hughes Blvd, Mount Orab, OH 45154 Phone: 937-550-3657 Fax: 937-661-2683 | |
Dr. Valerie Lynne Bazylewicz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 106 Kayleigh Dr, Mount Orab, OH 45154 Phone: 937-444-4385 Fax: 937-712-3161 | |
Charles Timothy Mckinley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 W Main St, Mount Orab, OH 45154 Phone: 937-444-0952 Fax: 937-444-0953 | |
Jessica Beebe, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Health Partners Cir, Mount Orab, OH 45154 Phone: 937-444-2514 Fax: 937-444-4818 |