| Edward R Elicker, MD | |
|
350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017-5465 | |
| (859) 363-2200 | |
| (859) 363-2201 |
| Full Name | Edward R Elicker |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 350 Thomas More Pkwy, Crestview Hills, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780626424 | NPI | - | NPPES |
| 64180011 | Medicaid | KY | |
| 0203541 | Medicaid | OH | |
| P00013186 | Other | OH | RAILROAD MEDICARE |
| 340011126 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35-03-1763 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward R Elicker, MD 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 Ph: (513) 841-7400 | Edward R Elicker, MD 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017-5465 Ph: (859) 363-2200 |
Christian Andrew Dewan, Urology Medicare: Medicare Enrolled Practice Location: 350 Thomas More Pkwy, Crestview Hills, KY 41017 Phone: 859-363-2200 | |
Michael William Dusing, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 | |
B Robert Schwartz, MD Urology Medicare: Medicare Enrolled Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 | |
Brian F Shay, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 | |
James D Williams, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 | |
Christopher Cirulli, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 Thomas More Pkwy, Suite 200, Crestview Hills, KY 41017 Phone: 859-363-2200 Fax: 859-363-2201 |