| Vertrae, Inc. | |
|
4501 Lyons Rd Miamisburg OH 45342-6444 | |
| (844) 255-2225 | |
| (833) 314-0504 |
| Full Name | Vertrae, Inc. |
|---|---|
| Speciality | Neurological Surgery |
| Location | 4501 Lyons Rd, Miamisburg, Ohio |
| Authorized Official Name and Position | Kamal Woods (OWNER) |
| Authorized Official Contact | 9094999062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vertrae, Inc. 4501 Lyons Rd Miamisburg OH 45342-6444 Ph: (844) 255-2225 | Vertrae, Inc. 4501 Lyons Rd Miamisburg OH 45342-6444 Ph: (844) 255-2225 |
| NPI Number | 1972118420 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 05/29/2023 |
| Medicare PECOS PAC ID | 6103246723 |
|---|---|
| Medicare Enrollment ID | O20201021001254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972118420 | NPI | - | NPPES |
| Provider Name | Kristofer M Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518303361 PECOS PAC ID: 9537308705 Enrollment ID: I20130619000211 |
| Provider Name | Kamal R Woods |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871706473 PECOS PAC ID: 9335310457 Enrollment ID: I20160927000578 |
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