| Jeffery L Nielson, MD | |
|
1563 E Dorothy Ln, Kettering, OH 45429-3897 | |
| (937) 296-2853 | |
| Not Available |
| Full Name | Jeffery L Nielson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 1563 E Dorothy Ln, Kettering, 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 |
|---|---|---|---|
| 1134147358 | NPI | - | NPPES |
| P00225464 | Other | OH | MCR RR |
| 2560812 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35-086065 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Springfield Regional Medical Center | Springfield, OH | Hospital |
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Network Radiologists Inc | 7618960303 | 70 |
| Central Washington Health Services Association | 4880504596 | 657 |
| Kettering Network Radiologists Inc | 7618960303 | 70 |
| Radia California Radiology Medical Group Inc | 8921465998 | 115 |
| Radia Inc P S | 9931012812 | 263 |
| Entity Name | Kettering Network Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346299153 PECOS PAC ID: 7618960303 Enrollment ID: O20211209001406 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery L Nielson, MD 1563 E Dorothy Ln, Suite 101, Kettering, OH 45429-3897 Ph: (937) 286-2953 | Jeffery L Nielson, MD 1563 E Dorothy Ln, Kettering, OH 45429-3897 Ph: (937) 296-2853 |
Michael Caccamo, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 540 Lincoln Park Blvd, Ste 130, Kettering, OH 45429 Phone: 937-297-6306 Fax: 937-299-6300 | |
Luke Miller Lewis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8646 Fax: 937-522-8100 | |
John K Bidwell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 | |
Richard A Mckenzie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 | |
William F Richards, M.D., PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 101, Kettering, OH 45429 Phone: 937-395-8646 Fax: 937-281-3812 | |
Donald Marger, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2632 Woodman Center Ct, Kettering, OH 45420 Phone: 937-293-2273 |