William A Elder, MD | |
122 Columbus Rd, Fredericktown, OH 43019-1266 | |
(740) 694-1261 | |
(740) 694-7145 |
Full Name | William A Elder |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 122 Columbus Rd, Fredericktown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710914833 | NPI | - | NPPES |
0466517 | Medicaid | OH | |
2088882 | Other | OH | UNITED HEALTHCARE OF OHIO |
000000018965 | Other | OH | ANTHEM BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35.046307 (Ohio) | Primary |
Entity Name | Knox County General Health District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306818075 PECOS PAC ID: 8820078595 Enrollment ID: O20040722001116 |
Entity Name | Hospice Of North Central Ohio, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295026995 PECOS PAC ID: 5496756074 Enrollment ID: O20110304000555 |
Entity Name | Simona L Moore Cnp Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336487081 PECOS PAC ID: 3971748716 Enrollment ID: O20130326000413 |
Mailing Address | Practice Location Address |
---|---|
William A Elder, MD 122 Columbus Rd, Fredericktown, OH 43019-1266 Ph: (740) 694-1261 | William A Elder, MD 122 Columbus Rd, Fredericktown, OH 43019-1266 Ph: (740) 694-1261 |
Andy C Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 Columbus Rd, Fredericktown, OH 43019 Phone: 740-694-1261 Fax: 740-694-7145 | |
Matthew Bradley Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 Columbus Rd, Fredericktown, OH 43019 Phone: 740-694-1261 Fax: 740-694-7145 |