| Edward A Del Grosso, MD | |
|
1320 W. Main Street, Newark, OH 43055-1822 | |
| (740) 348-4779 | |
| (740) 348-4740 |
| Full Name | Edward A Del Grosso |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 1320 W. Main Street, Newark, 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 |
|---|---|---|---|
| 1316028665 | NPI | - | NPPES |
| 000000195585 | Other | ANTHEM BC/BS | |
| 310851206015 | Other | MEDICAL MUTUAL OF OHIO | |
| 000000195585 | Other | ANTHEM BC/BS-FEDERAL | |
| 300124726 | Other | RAILROAD MEDICARE | |
| 2224524 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35-079067 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Licking Memorial Hospital | Newark, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Radiologists Inc | 0840241907 | 10 |
| Entity Name | Tri-county Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477544880 PECOS PAC ID: 0840241907 Enrollment ID: O20050207000073 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward A Del Grosso, MD P.o. Box 948, 2112 Cherry Valley Rd.,, Newark, OH 43058-0948 Ph: (740) 522-3774 | Edward A Del Grosso, MD 1320 W. Main Street, Newark, OH 43055-1822 Ph: (740) 348-4779 |
Dr. Subbarao Cherukuri, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2112 Cherry Valley Rd, Newark, OH 43055 Phone: 740-522-3774 Fax: 740-522-2221 | |
Sean Karl Choice, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2112 Cherry Valley Rd, Newark, OH 43055 Phone: 740-522-3774 Fax: 740-522-2221 | |
Dr. Joseph E Fondriest, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2112 Cherry Valley Rd, Newark, OH 43055 Phone: 740-522-3774 Fax: 740-522-2221 | |
Adam C Maier, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 115 Mcmillen Dr, Newark, OH 43055 Phone: 740-344-3100 Fax: 740-344-5793 | |
Dr. Yoon S Kim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2112 Cherry Valley Rd, Newark, OH 43055 Phone: 740-522-3774 Fax: 740-522-2221 | |
Dr. Chuck C Cho, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 115 Mcmillen Dr, Newark, OH 43055 Phone: 740-344-3100 |