Dr Caleb Ray Birchler, DO | |
3050 Mack Rd Ste 310, Fairfield, OH 45014-5376 | |
(513) 421-3494 | |
Not Available |
Full Name | Dr Caleb Ray Birchler |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 3050 Mack Rd Ste 310, Fairfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366892994 | NPI | - | NPPES |
02007201A | Other | IN | IN - STATE LICENSE |
300076773 | Medicaid | IN | |
5009822281001 | Medicaid | IL | |
5315090246 | Other | MI | MI LICENSE |
7100896450 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 02007201A (Indiana) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 34C.000424 (Ohio) | Primary |
Entity Name | Evansville Surgical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497707517 PECOS PAC ID: 1557346723 Enrollment ID: O20040622000449 |
Mailing Address | Practice Location Address |
---|---|
Dr Caleb Ray Birchler, DO 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231 | Dr Caleb Ray Birchler, DO 3050 Mack Rd Ste 310, Fairfield, OH 45014-5376 Ph: (513) 421-3494 |
Jacquelyn Anne Virgi Palmer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Ste. 2531, Fairfield, OH 45014 Phone: 513-924-8535 Fax: 513-924-8559 | |
Neal Joshua Dollin, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3050 Mack Rd Ste 310, Fairfield, OH 45014 Phone: 513-952-5000 | |
Mr. James E Fitzpatrick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3050 Mack Rd Ste 310, Fairfield, OH 45014 Phone: 513-924-8895 Fax: 513-924-8909 | |
Girish Babu Nagesetty, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1251 Nilles Road, Suite17, Fairfield, OH 45014 Phone: 513-829-7133 Fax: 513-829-7134 | |
Dr. Christopher Ward Juergens, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2960 Mack Rd, Ste. 205, Fairfield, OH 45014 Phone: 513-924-8895 Fax: 513-924-8910 | |
Dr. Douglas Benjamin Berg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3050 Mack Rd, Suite 310, Fairfield, OH 45014 Phone: 513-924-8895 Fax: 513-924-8909 |