| Kenneth Robert Patton, DO | |
|
10500 Montgomery Rd, Cincinnati, OH 45242-4402 | |
| (513) 865-1307 | |
| (513) 865-1444 |
| Full Name | Kenneth Robert Patton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 10500 Montgomery Rd, Cincinnati, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184623209 | NPI | - | NPPES |
| 2246653 | Medicaid | OH | |
| 930121722 | Other | PA | RR MEDICARE |
| 00026217401 | Other | NY | UNIVERA |
| 200905480 | Medicaid | IN | |
| 115099 | Other | PA | UNISON |
| 423269 | Other | PA | BLUE SHIELD |
| 7100044510 | Medicaid | KY | |
| 217534 | Other | PA | UPMC |
| 2246653 | Other | OH | OH MEDICAL ASSISTANCE |
| 1512799 | Other | PA | GATEWAY |
| 2899000 | Other | PA | AETNA |
| 01959219 | Other | NY | NY MEDICAL ASSISTANCE |
| 0018387030006 | Medicaid | PA | |
| 1068797 | Other | WV | WEST VIRGINIA WORK COMP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS011029L (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | 07824 (Ohio) | Primary |
| Entity Name | Qualified Emergency Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700872728 PECOS PAC ID: 6002720430 Enrollment ID: O20031118001049 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Robert Patton, DO 1472 Solutions Ctr, Chicago, IL 60677-1044 Ph: (513) 557-3333 | Kenneth Robert Patton, DO 10500 Montgomery Rd, Cincinnati, OH 45242-4402 Ph: (513) 865-1307 |
Cindy Chang, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Burnet Ave, Ml 2008, Cincinnati, OH 45229 Phone: 513-636-7966 Fax: 513-636-7967 | |
Lori Ann Stolz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-5281 Fax: 513-558-5791 | |
Cody Lee Stothers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 234 Goodman Street, Center For Emergency Care, Cincinnati, OH 45219 Phone: 513-558-5281 Fax: 513-558-5791 | |
Julius De Castro, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-5281 Fax: 513-558-5791 | |
Dr. Rachelle Bernice Pierre-mathieu, MD, MPP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 234 Goodman St, Mail Location 0796, Cincinnati, OH 45219 Phone: 513-584-1000 | |
Stephen Louis Sanker, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Lexington Ave, Suite 100, Cincinnati, OH 45212 Phone: 513-977-6758 | |
Courtney Elizabeth Kein, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 234 Goodman Street, Center For Emergency Care, Cincinnati, OH 45219 Phone: 513-558-5281 Fax: 513-558-5791 |