| Dr Dustin Wailes, MD | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 293-8228 | |
| (937) 293-8229 |
| Full Name | Dr Dustin Wailes |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 10 Years |
| Location | 3535 Southern Blvd, Kettering, 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 |
|---|---|---|---|
| 1689061400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35.139259 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sharp Chula Vista Medical Center | Chula vista, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Service Medical Group | 1153223219 | 243 |
| Entity Name | Anesthesia Service Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053354233 PECOS PAC ID: 1153223219 Enrollment ID: O20040121000450 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dustin Wailes, MD Po Box 932759, Cleveland, OH 44193-0015 Ph: (317) 614-9817 | Dr Dustin Wailes, MD 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 293-8228 |
Dr. Kristie Bovee, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-298-4331 | |
Dr. David L Tibbits, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd, Ste 3400, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
David M Brouhard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Dr. Gustavo E Collins, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Bachar Hachwa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Dr. Roy Walter Haines, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 | |
Dr. Diane F Imbrogno, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 |