| Raymond J Poelstra, MD | |
|
3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | |
| (937) 643-9299 | |
| (937) 643-2343 |
| Full Name | Raymond J Poelstra |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 3700 Southern Blvd Ste 300, 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 |
|---|---|---|---|
| 1972530848 | NPI | - | NPPES |
| 06-20069 | Other | OH | UNITED HEALTHCARE |
| 0641158 | Medicaid | OH | |
| 000000019621 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 35-054562 (Ohio) | Primary |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond J Poelstra, MD 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 Ph: (937) 643-9299 | Raymond J Poelstra, MD 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 Ph: (937) 643-9299 |
Dr. Akil P Patel, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Dr. Mark Hoeprich, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Dr. Richard John Gorman Jr., D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Dr. Neil N Patel, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Jonathan A Borden, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3533 Southern Blvd Ste 3000, Kettering, OH 45429 Phone: 937-299-8242 Fax: 937-299-8245 | |
Peter A Bouz, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Dr. Phillip Michael Porcelli, D.O. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 |