| Dr Larry D Eldenburg, MD | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 293-8228 | |
| (937) 293-8229 |
| Full Name | Dr Larry D Eldenburg |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 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 |
|---|---|---|---|
| 1811976913 | NPI | - | NPPES |
| 0882228 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35063341 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clinton Memorial Hospital | Wilmington, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Anesthesia Associates, Inc | 0648170365 | 35 |
| Entity Name | Kettering Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689627739 PECOS PAC ID: 0648170365 Enrollment ID: O20040109000871 |
| Entity Name | Sandusky Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry D Eldenburg, MD Po Box 932759, Cleveland, OH 44193-0015 Ph: (937) 293-8228 | Dr Larry D Eldenburg, 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 |