| Mr Terry Dean Roode, DO | |
|
03920 Southland Rd., New Bremen, OH 45869-0127 | |
| (419) 629-2772 | |
| (419) 629-3613 |
| Full Name | Mr Terry Dean Roode |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 45 Years |
| Location | 03920 Southland Rd., New Bremen, 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 |
|---|---|---|---|
| 1093749913 | NPI | - | NPPES |
| H084151 | Other | OH | PTAN |
| 0488600 | Medicaid | OH | |
| 0995811 | Medicaid | OH | |
| 1801976311 | Other | OH | GROUP NPI |
| 1417992710 | Other | OH | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-00-3323 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Health Professionals, Inc | Van wert, OH | Home health agency |
| Fountain Park Home Care, Llc | Saint marys, OH | Home health agency |
| Grand Lake Home Health | St marys, OH | Home health agency |
| Mercer County Joint Township Community Hospital | Coldwater, OH | Hospital |
| Grand Lake Health System | Saint marys, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| M E D F Physicians Corporation | 9133109903 | 46 |
| Entity Name | M E D F Physicians Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417992710 PECOS PAC ID: 9133109903 Enrollment ID: O20040722000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Terry Dean Roode, DO 830 W Main St, Coldwater, OH 45828-1626 Ph: (567) 890-7143 | Mr Terry Dean Roode, DO 03920 Southland Rd., New Bremen, OH 45869-0127 Ph: (419) 629-2772 |
Dr. John F Bowling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 03920 Southland Rd, New Bremen, OH 45869 Phone: 419-629-2772 Fax: 419-629-3613 |