| Dr Ian Cassaday, DO | |
|
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (270) 798-8388 | |
| Not Available |
| Full Name | Dr Ian Cassaday |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 16 Years |
| Location | 650 Joel Dr, Fort Campbell, 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 |
|---|---|---|---|
| 1669784658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | DR.0060504 (Colorado) | Secondary |
| 208600000X | Surgery | OP60861245 (Washington) | Secondary |
| 208600000X | Surgery | 02004013A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saints Medical Group, Llc | 7012914898 | 395 |
| Entity Name | Shawnee Medical Center Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian Cassaday, DO 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8388 | Dr Ian Cassaday, DO 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8388 |
Dr. William W Chang, MD Surgery Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8407 | |
Chonna Lynn Kendrick, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Phone: 270-798-8727 | |
Ashley Chinn, Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 Fax: 270-798-8224 | |
Torbjorg Holtestaul, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Dr. Bethanny R Glahn, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Dr. Jacob Heath Palubicki, M.D Surgery Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8407 Fax: 270-798-8721 | |
Robert J Marx, DO Surgery Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8407 Fax: 270-798-8721 |