| Dr Derrick Lamar Reedus Sr, MD | |
|
1980 Tamarack Rd, Newark, OH 43055-1363 | |
| (220) 564-7520 | |
| (220) 564-7521 |
| Full Name | Dr Derrick Lamar Reedus Sr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 1980 Tamarack Rd, Newark, 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 |
|---|---|---|---|
| 1194929463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35.090640 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Hospital | Zanesville, OH | Hospital |
| Licking Memorial Hospital | Newark, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Genesis Medical Group, Llc | 7719040385 | 256 |
| Entity Name | Genesis Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063663433 PECOS PAC ID: 7719040385 Enrollment ID: O20090107000547 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derrick Lamar Reedus Sr, MD 1320 W Main St, Newark, OH 43055-1822 Ph: (220) 564-4027 | Dr Derrick Lamar Reedus Sr, MD 1980 Tamarack Rd, Newark, OH 43055-1363 Ph: (220) 564-7520 |
Dr. Roy Reginald Brown Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1980 Tamarack Rd, Newark, OH 43055 Phone: 220-564-7520 Fax: 220-564-7521 | |
William Alvin Stallworth, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1272 W Main St Ste 401, Newark, OH 43055 Phone: 220-564-1750 Fax: 220-564-1751 | |
Adam J Clemens, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1980 Tamarack Rd, Newark, OH 43055 Phone: 220-564-7520 Fax: 220-564-7521 | |
Dr. Donald J Lewis, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1902 Tamarack Rd, Newark, OH 43055 Phone: 740-344-1576 Fax: 740-344-3514 |