| Dr Craig David Sanders, DO | |
|
605 Man O War Boulevard, Union, KY 41091-2007 | |
| (859) 578-5333 | |
| (859) 384-0216 |
| Full Name | Dr Craig David Sanders |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 605 Man O War Boulevard, Union, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821059791 | NPI | - | NPPES |
| 64048184 | Medicaid | KY | |
| 2131704 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02741 (Kentucky) | Primary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig David Sanders, DO 605 Man O War Boulevard, Union, KY 41091-2007 Ph: (859) 578-5333 | Dr Craig David Sanders, DO 605 Man O War Boulevard, Union, KY 41091-2007 Ph: (859) 578-5333 |
Melonie C Proctor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 Bristow Drive, Union, KY 41091 Phone: 859-301-7210 Fax: 859-301-7216 | |
Dr. Corey Gallus, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 Bristow Drive, Union, KY 41091 Phone: 859-301-7210 Fax: 859-301-7216 | |
Dr. Brian J Walters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 Bristow Drive, Primary Care-union Bristow Drive, Union, KY 41091 Phone: 859-301-7210 Fax: 859-301-7216 |