| Geoffrey M Siesel, MD | |
|
1320 W Main St, Newark, OH 43055-1822 | |
| (740) 348-4710 | |
| (423) 826-1290 |
| Full Name | Geoffrey M Siesel |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 1320 W Main St, 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 |
|---|---|---|---|
| 1801116744 | NPI | - | NPPES |
| 0142342 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35.126904 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohio State University State Health System | Columbus, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osu Radiology Llc | 8921031675 | 152 |
| Entity Name | Riverside Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20040309000317 |
| Entity Name | Osu Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956814 PECOS PAC ID: 8921031675 Enrollment ID: O20050914000392 |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey M Siesel, MD Po Box 2089, Mount Vernon, OH 43050-7289 Ph: (800) 475-6112 | Geoffrey M Siesel, MD 1320 W Main St, Newark, OH 43055-1822 Ph: (740) 348-4710 |
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 | |
Edward A Del Grosso, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1320 W. Main Street, Newark, OH 43055 Phone: 740-348-4779 Fax: 740-348-4740 | |
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 |