| Dr Michael A Cross, MD | |
| 2960 Mack Rd Ste 105, Fairfield, OH 45014-5374 | |
| (513) 751-2273 | |
| (513) 751-1840 | 
| Full Name | Dr Michael A Cross | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Radiation Oncology | 
| Location | 2960 Mack Rd Ste 105, Fairfield, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023001823 | NPI | - | NPPES | 
| 0664062 | Medicaid | OH | |
| 200070440 | Medicaid | IN | |
| 300119721 | Other | OH | MEDICARE RAILROAD | 
| 64788904 | Medicaid | KY | |
| 300119754 | Other | IN | MEDICARE RAILROAD | 
| 900003565 | Other | KY | MEDICARRE RAILROAD | 
| Entity Name | St Elizabeth Medical Center, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932187937 PECOS PAC ID: 0648174623 Enrollment ID: O20031121000206 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael A Cross, MD Po Box 636324, Cincinnati, OH 45263-6324 Ph: (859) 301-4000 | Dr Michael A Cross, MD 2960 Mack Rd Ste 105, Fairfield, OH 45014-5374 Ph: (513) 751-2273 | 
| Bradford Harold Woodall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091 | |
| Robert A Love Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091 | |
| Donald Kolman Imwalle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-965-8041 Fax: 513-965-8091 | |
| Jeffrey I Grass, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2960 Mack Rd Ste 105, Fairfield, OH 45014 Phone: 513-751-2273 | |
| Susan Marie Cha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091 | |
| Timothy Joseph Phalen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091 |