| Jeffrey I Grass, MD | |
|
2960 Mack Rd Ste 105, Fairfield, OH 45014-5374 | |
| (513) 751-2273 | |
| Not Available |
| Full Name | Jeffrey I Grass |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 30 Years |
| Location | 2960 Mack Rd Ste 105, Fairfield, 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 |
|---|---|---|---|
| 1275574535 | NPI | - | NPPES |
| 2230697 | Medicaid | OH | |
| 200833060 | Medicaid | IN | |
| 7100002030 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 37561 (Kentucky) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 35-071641 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Cincinnati, OH | Hospital |
| Bethesda North | Cincinnati, OH | Hospital |
| Mercy Health - West Hospital | Cincinnati, OH | Hospital |
| Mercy Health - Fairfield Hospital | Fairfield, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri State Urologic Services Psc Inc | 6204740889 | 72 |
| Oncology Hematology Care Inc | 8921910373 | 54 |
| Entity Name | Oncology Hematology Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790778041 PECOS PAC ID: 8921910373 Enrollment ID: O20031104000194 |
| Entity Name | Tri State Urologic Services Psc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396938312 PECOS PAC ID: 6204740889 Enrollment ID: O20031118000285 |
| Entity Name | Mercy Health Physicians Springfield Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790308104 PECOS PAC ID: 4284059981 Enrollment ID: O20200728003692 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey I Grass, MD 5053 Wooster Rd, Cincinnati, OH 45226-2326 Ph: (513) 751-2145 | Jeffrey I Grass, MD 2960 Mack Rd Ste 105, Fairfield, OH 45014-5374 Ph: (513) 751-2273 |
Dr. Michael A Cross, MD Radiology Medicare: Medicare Enrolled Practice Location: 2960 Mack Rd Ste 105, Fairfield, OH 45014 Phone: 513-751-2273 Fax: 513-751-1840 | |
Bradford Harold Woodall, MD Radiology Medicare: Medicare Enrolled Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091 | |
Robert A Love Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091 | |
Donald Kolman Imwalle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-965-8041 Fax: 513-965-8091 | |
Susan Marie Cha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091 | |
Timothy Joseph Phalen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091 |