| John K Bidwell, MD | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 296-7202 | |
| Not Available |
| Full Name | John K Bidwell |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134179906 | NPI | - | NPPES |
| 0776656 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35056409 (Ohio) | Primary |
| 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: O20040407001016 |
| Mailing Address | Practice Location Address |
|---|---|
| John K Bidwell, MD Box 713083, Columbus, OH 43271-3083 Ph: (614) 430-5707 | John K Bidwell, MD 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 296-7202 |
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 | |
Jeffery L Nielson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1563 E Dorothy Ln, Kettering, OH 45429 Phone: 937-296-2853 | |
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 |