| Dr Robert Glen Sickinger, DO | |
|
113 W National Rd, Vandalia, OH 45377-1934 | |
| (937) 223-6837 | |
| (937) 223-3024 |
| Full Name | Dr Robert Glen Sickinger |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 113 W National Rd, Vandalia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740210277 | NPI | - | NPPES |
| 0827994 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 34.004355 (Ohio) | Primary |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Glen Sickinger, DO 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459-3823 Ph: (937) 223-6837 | Dr Robert Glen Sickinger, DO 113 W National Rd, Vandalia, OH 45377-1934 Ph: (937) 223-6837 |
Sandra K Harewood, M.D. Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 235 W National Rd, Vandalia, OH 45377 Phone: 937-898-3600 Fax: 937-898-2731 | |
Dr. Alexis D Parks Myton, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 235 W National Rd., Vandalia, OH 45377 Phone: 937-898-3600 Fax: 937-898-2731 | |
Christine G Dienna, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Aviator Ct Ste 100a, Vandalia, OH 45377 Phone: 937-277-4274 Fax: 937-277-8476 |