| Dr Bruce Edmund Staley, MD | |
|
891 W Locust St, Wilmington, OH 45177-2118 | |
| (937) 382-5030 | |
| (937) 655-8390 |
| Full Name | Dr Bruce Edmund Staley |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 891 W Locust St, Wilmington, 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 |
|---|---|---|---|
| 1841283033 | NPI | - | NPPES |
| 0420218 | Other | UNITED HEALTHCARE | |
| 46235 | Other | HUMANA CHOICE CARE | |
| 00000020491 | Other | IRON WORKERS BENEFIT TRUS | |
| 0014450 | Other | TRICARE FOR LIFE | |
| 000000020491 | Other | OH | ANTHEM |
| 0551451 | Medicaid | OH | |
| IN9287051 | Other | OH | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35046235S (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clinton Memorial Hospital | Wilmington, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wilmington Physicians Group Llc | 4688853419 | 29 |
| Rchp-wilmington, Llc | 6709065931 | 9 |
| Entity Name | Rchp-wilmington, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063715712 PECOS PAC ID: 6709065931 Enrollment ID: O20110120000495 |
| 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 |
|---|---|
| Dr Bruce Edmund Staley, MD 891 W Locust St, Wilmington, OH 45177-2118 Ph: (937) 382-5030 | Dr Bruce Edmund Staley, MD 891 W Locust St, Wilmington, OH 45177-2118 Ph: (937) 382-5030 |
Raja A. Nazir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 W Main St Ste 105, Wilmington, OH 45177 Phone: 937-283-9888 | |
John T Hollon, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 222 W Main St, Wilmington, OH 45177 Phone: 937-382-0918 Fax: 937-383-1123 | |
Dr. Mary Louise Inwood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Alok Agrawal, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 630 W Main St, Suite 209, Wilmington, OH 45177 Phone: 937-383-2700 Fax: 937-383-2722 | |
Christopher M Wright, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 W Locust St Ste 300, Wilmington, OH 45177 Phone: 937-382-2785 Fax: 937-382-0504 | |
Dr. James Edward Schmidt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 W Main St Ste 105, Wilmington, OH 45177 Phone: 937-283-9888 Fax: 937-283-9892 | |
Dr. Christopher Robert Gailliot, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 891 W Locust St, Wilmington, OH 45177 Phone: 937-382-5030 Fax: 937-655-8390 |