| Susan T Nedorost, MD | |
|
2359 E Main St, Bexley, OH 43209-2421 | |
| (614) 947-1716 | |
| Not Available |
| Full Name | Susan T Nedorost |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 38 Years |
| Location | 2359 E Main St, Bexley, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700811932 | NPI | - | NPPES |
| 0818511 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 35-058786 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatologists Of Southwestern Ohio, Llc | 7113973041 | 100 |
| Entity Name | Dermatologists Of Southwestern Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801819883 PECOS PAC ID: 7113973041 Enrollment ID: O20050323001436 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan T Nedorost, MD 2359 E Main St, Bexley, OH 43209-2421 Ph: () - | Susan T Nedorost, MD 2359 E Main St, Bexley, OH 43209-2421 Ph: (614) 947-1716 |
Dr. Hershel Eli Dobkin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2359 E Main St, Bexley, OH 43209 Phone: 614-947-1716 Fax: 614-947-1743 | |
Dr. Matthew James Zirwas, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2359 E Main St, Bexley, OH 43209 Phone: 614-947-1716 Fax: 614-652-3048 | |
Jaimie Dawn Rodger, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2359 E Main St, Bexley, OH 43209 Phone: 614-947-1716 Fax: 614-947-1743 |