| Dr Richard Ely Burgess, MD, PHD | |
|
2130 W Central Ave Ste 102103, Toledo, OH 43606-3818 | |
| (419) 291-3900 | |
| Not Available |
| Full Name | Dr Richard Ely Burgess |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 24 Years |
| Location | 2130 W Central Ave Ste 102103, Toledo, 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 |
|---|---|---|---|
| 1649340530 | NPI | - | NPPES |
| 0319247 | Medicaid | OH | |
| 036133825 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| University Of Toledo Medical Center | Toledo, OH | Hospital |
| Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
| Wood County Hospital | Bowling green, OH | Hospital |
| Emma L Bixby Medical Center | Adrian, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Physicians | 2365348190 | 830 |
| University Of Toledo Physicians Llc | 8729983416 | 365 |
| Promedica Central Physicians | 2365348190 | 830 |
| Entity Name | University Of Toledo Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Ely Burgess, MD, PHD 3000 Arlington Ave Stop 1108, Toledo, OH 43614-2595 Ph: (419) 383-5023 | Dr Richard Ely Burgess, MD, PHD 2130 W Central Ave Ste 102103, Toledo, OH 43606-3818 Ph: (419) 291-3900 |
Thomas Khamfoo Roach, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 905 Nebraska Ave, Toledo, OH 43607 Phone: 419-841-7701 | |
Dr. Emily Leilani Cooper, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3125 Transverse Dr Ste L, Toledo, OH 43614 Phone: 419-383-5695 | |
Mr. Lawrence W Elmer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2130 W. Central Avenue, Toledo, OH 43606 Phone: 419-291-3900 Fax: 419-291-8843 | |
Sandra Vonderembse, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 930 S Detroit Ave, Toledo, OH 43614 Phone: 419-381-1881 | |
Vinh Ngoc Pham, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3949 Sunforest Ct Ste 105, Toledo, OH 43623 Phone: 419-475-9341 | |
Scott R Short, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3425 Executive Pkwy, Suite 230, Toledo, OH 43606 Phone: 419-531-3500 Fax: 419-531-1877 | |
Lenora M Lehwald, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2222 Cherry St Ste 2300, Toledo, OH 43608 Phone: 419-251-8013 |