| Gregory Mark Eberhart, MD | |
|
3333 W Tech Rd Ste 220, Miamisburg, OH 45342-0956 | |
| (937) 885-4475 | |
| (937) 885-3670 |
| Full Name | Gregory Mark Eberhart |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3333 W Tech Rd Ste 220, Miamisburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841278926 | NPI | - | NPPES |
| 0069964001 | Other | CIGNA | |
| D7411004 | Other | HUMANA | |
| G23791 | Other | NATIONAL PROVIDER ID | |
| 522374873 | Other | TAX ID | |
| 10790951 | Other | CAQH | |
| 2032058 | Other | AETNA | |
| 2368834 | Medicaid | OH | |
| 522374873029 | Other | CARESOURCE | |
| 36D1007721 | Other | CLIA | |
| C09331561 | Other | MEDICARE GROUP PIN | |
| 1201765 | Other | UHC | |
| 2059856 | Medicaid | OH | |
| 000000244980 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35074110 (Ohio) | Primary |
| Entity Name | Dayton Childrens Specialty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Mark Eberhart, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Gregory Mark Eberhart, MD 3333 W Tech Rd Ste 220, Miamisburg, OH 45342-0956 Ph: (937) 885-4475 |
Dr. Roberta Ann Dilego, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-5725 Fax: 937-350-3050 | |
Michael Wen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-5725 Fax: 937-350-3050 | |
Dr. Patrick Stanley Hein, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 W Tech Rd Ste 120, Miamisburg, OH 45342 Phone: 937-748-6116 Fax: 937-291-6956 | |
Harpinder Kaur Kalra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-4000 Fax: 937-641-4500 | |
Scott Anthony Weber, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-3400 Fax: 937-641-4500 | |
Craig Evan Chalfie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 W Tech Rd Ste 220, Miamisburg, OH 45342 Phone: 937-885-4475 Fax: 937-885-3670 | |
Kara Danielle Szlag, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 W Tech Rd Ste 120, Miamisburg, OH 45342 Phone: 937-748-6116 Fax: 937-291-6956 |