| Dr Andrew James Dittenhofer, DO | |
|
1711 27th St Ste 402, Portsmouth, OH 45662-2669 | |
| (740) 356-3562 | |
| (740) 355-6938 |
| Full Name | Dr Andrew James Dittenhofer |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 1711 27th St Ste 402, Portsmouth, 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 |
|---|---|---|---|
| 1174811764 | NPI | - | NPPES |
| 1174811764 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34.012791 (Ohio) | Primary |
| 208600000X | Surgery | 4785 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottumwa Regional Health Center | Ottumwa, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ottumwa Health Group Llc | 3971629924 | 26 |
| Entity Name | Ottumwa Health Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386956290 PECOS PAC ID: 3971629924 Enrollment ID: O20100927001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew James Dittenhofer, DO 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | Dr Andrew James Dittenhofer, DO 1711 27th St Ste 402, Portsmouth, OH 45662-2669 Ph: (740) 356-3562 |
Dr. Joseph J Lach, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1711 27th Street, Braunlin Bldg, Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 Fax: 740-354-3254 |
Dr. James R Pacholka, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 402, Portsmouth, OH 45662 Phone: 740-356-3562 Fax: 740-355-6938 |
Mrs. Jennifer Lynn Thayer, FNP-BC Surgery Medicare: Not Enrolled in Medicare Practice Location: 1711 27th St Braunlin Bldg, Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 |
Kent M Grosh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 402, Portsmouth, OH 45662 Phone: 740-356-3562 Fax: 740-356-1279 |
Dr. Vincent Michael Scarpinato, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 402, Portsmouth, OH 45662 Phone: 740-356-3562 Fax: 740-355-6938 |
Thomas Lutfallah Khoury, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 Fax: 740-354-3254 |
Marion Richard Hochstetler Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 206, Portsmouth, OH 45662 Phone: 740-356-8772 Fax: 740-356-1264 |