| Daniel Ross Fogt, | |
|
630 W Main St Ste 304, Wilmington, OH 45177-2171 | |
| (937) 283-2520 | |
| Not Available |
| Full Name | Daniel Ross Fogt |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 630 W Main St Ste 304, Wilmington, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083103865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35.148707 (Ohio) | Primary |
| Entity Name | Wilmington Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932401411 PECOS PAC ID: 4688853419 Enrollment ID: O20110126000617 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Ross Fogt, 630 W Main St Ste 304, Wilmington, OH 45177-2171 Ph: (937) 283-2520 | Daniel Ross Fogt, 630 W Main St Ste 304, Wilmington, OH 45177-2171 Ph: (937) 283-2520 |
Brian J Santin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 630 W Main St, Suite 200, Wilmington, OH 45177 Phone: 937-655-8346 Fax: 937-655-8350 | |
Dr. Ronald Joseph Pedalino, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 610 W Main St, Wilmington, OH 45177 Phone: 937-283-9970 | |
Rachel Christine Lovano, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 630 W Main St Ste 304, Wilmington, OH 45177 Phone: 937-283-2520 Fax: 937-283-2527 | |
Nathan J Roberts, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 610 W Main St, Wilmington, OH 45177 Phone: 937-382-6611 |