| John P Ewonus, DO | |
|
433 W High St, Bryan, OH 43506-1690 | |
| (419) 636-1131 | |
| Not Available |
| Full Name | John P Ewonus |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 43 Years |
| Location | 433 W High St, Bryan, 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 |
|---|---|---|---|
| 1437127040 | NPI | - | NPPES |
| 4298373 | Medicaid | MI | |
| 000000135706 | Other | OH | ANTHEM BCBS |
| 4298382 | Medicaid | MI | |
| 0165780 | Medicaid | OH | |
| 4107426 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 34.006160 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry County Hospital, Inc | Napoleon, OH | Hospital |
| Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Defiance Radiologist Associates Inc | 1355363862 | 4 |
| Entity Name | Defiance Radiologist Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396712279 PECOS PAC ID: 1355363862 Enrollment ID: O20051228000102 |
| Mailing Address | Practice Location Address |
|---|---|
| John P Ewonus, DO Po Box 5789, Longview, TX 75608-5789 Ph: (903) 663-4800 | John P Ewonus, DO 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131 |
Darren D Chao, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 | |
Usha Sharma, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 | |
Dr. Michael Pak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 524 W High St, Bryan, OH 43506 Phone: 419-636-9800 |