| Roger G Amigo, DO | |
|
2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | |
| (937) 593-0070 | |
| (937) 599-0075 |
| Full Name | Roger G Amigo |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 37 Years |
| Location | 2160 Ewing Crawfis Cir, Bellefontaine, 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 |
|---|---|---|---|
| 1982603668 | NPI | - | NPPES |
| 340010844 | Other | OH | RAILROAD MEDICARE PALMETT |
| 000000007681 | Other | OH | ANTHAN BCBS |
| 310884319033 | Other | OH | CARESOURCE |
| 0836760 | Medicaid | OH | |
| 5198086 | Other | OH | AETNA |
| 3980672 | Other | OH | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 5016 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Rutan Hospital | Bellefontaine, OH | Hospital |
| Hardin Memorial Hospital | Kenton, OH | Hospital |
| Mount Carmel East | Columbus, OH | Hospital |
| Wilson Memorial Hospital | Sidney, OH | Hospital |
| Memorial Hospital | Marysville, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Rutan Hospital | 9032013792 | 90 |
| Entity Name | Mary Rutan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548254931 PECOS PAC ID: 9032013792 Enrollment ID: O20031124000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger G Amigo, DO 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 Ph: (937) 593-0070 | Roger G Amigo, DO 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 Ph: (937) 593-0070 |
Dr. Robert I Lewis, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311 Phone: 937-593-0070 Fax: 937-599-0075 |