| Dr Damodhar Pattabiraman Suresh, MD | |
|
711 Medical Village Dr, Edgewood, KY 41017-3439 | |
| (859) 287-3045 | |
| (859) 578-3800 |
| Full Name | Dr Damodhar Pattabiraman Suresh |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 37 Years |
| Location | 711 Medical Village Dr, Edgewood, Kentucky |
| 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 |
|---|---|---|---|
| 1356348346 | NPI | - | NPPES |
| 0369016 | Other | KY | MEDICARE |
| 0562616 | Other | KY | MEDICARE |
| 0969497 | Other | KY | MEDICARE PTAN |
| 64962830 | Medicaid | KY | |
| 060067789 | Other | RAILROAD MEDICARE | |
| 611300608064 | Other | OH | CARESOURCE |
| 2000420 | Medicaid | OH | |
| P00893681 | Other | OH | RAILROAD MEDICARE |
| P00922859 | Other | KY | RAIL ROAD MEDICARE |
| 50024711 | Other | KY | PASSPORT MEDICAID |
| 0369209 | Other | KY | MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
| St Elizabeth Grant | Williamstown, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Summit Medical Group Inc | 2163326240 | 756 |
| 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 Damodhar Pattabiraman Suresh, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 331-0774 | Dr Damodhar Pattabiraman Suresh, MD 711 Medical Village Dr, Edgewood, KY 41017-3439 Ph: (859) 287-3045 |
Alice Hall, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Colleen M Darnell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-4000 Fax: 859-301-4001 | |
Charles M Bernstein, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, St. Elizabeth Healthcare, Edgewood, KY 41017 Phone: 859-301-2423 Fax: 859-301-2066 | |
Vidya Rajaram Devarajan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1512 Fax: 859-331-3698 | |
Dr. Minsig Choi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-4000 Fax: 859-301-4001 | |
Robert J Wagner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Ryan Daniel Weprin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 |