Susan Moeller, MD | |
3000 Mack Rd, Fairfield, OH 45014-5335 | |
(513) 672-3309 | |
(513) 672-3323 |
Full Name | Susan Moeller |
---|---|
Gender | Female |
Speciality | Anesthesiology |
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 |
---|---|---|---|
1922008994 | NPI | - | NPPES |
2360109 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35068844 (Ohio) | Primary |
Entity Name | Northstar Anesthesia Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
Mailing Address | Practice Location Address |
---|---|
Susan Moeller, MD 11490 Springfield Pike, Cincinnati, OH 45246-3524 Ph: (513) 672-3309 | Susan Moeller, MD 3000 Mack Rd, Fairfield, OH 45014-5335 Ph: (513) 672-3309 |
Dr. Maximilian Lang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000 | |
Dr. Nitin Anand, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000 | |
Dr. Humam H Akbik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2818 Mack Rd, Fairfield, OH 45014 Phone: 513-900-0750 Fax: 513-816-7631 | |
Carmen Dimaculangan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323 | |
Shaka James, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000 |