| Dennis M Mann, MD | |
|
105 Mcknight Dr, Middletown, OH 45044-4838 | |
| (513) 424-2111 | |
| Not Available |
| Full Name | Dennis M Mann |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 105 Mcknight Dr, Middletown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972557692 | NPI | - | NPPES |
| 2440433 | Medicaid | OH | |
| 000000316957 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35082435M (Ohio) | Primary |
| Entity Name | Miami Valley Emergency Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821189085 PECOS PAC ID: 9537064183 Enrollment ID: O20031205000322 |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis M Mann, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: () - | Dennis M Mann, MD 105 Mcknight Dr, Middletown, OH 45044-4838 Ph: (513) 424-2111 |
Clyde Watson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5900 Long Meadow Dr, Middletown, OH 45005 Phone: 513-420-3773 Fax: 513-727-2539 | |
Craig F Williams, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Mcknight Dr, Middletown, OH 45044 Phone: 513-424-2111 |