Thomas Wallace Gitchel Jr, STNA, RN is a
Registered Nurse based in St Louisville, Ohio. Thomas Wallace Gitchel Jr is licensed to practice in Ohio (license number 377484) and his current practice location is
9470 Hunt Rd, St Louisville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(317) 695-0153.
NPI number for Thomas Wallace Gitchel Jr is 1558616680 and his current mailing address is 9470 Hunt Rd, St Louisville, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558616680.
Provider's Profile
| Full Name | Thomas Wallace Gitchel Jr |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 9470 Hunt Rd, St Louisville, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558616680
- Provider Enumeration Date: 07/15/2012
- Last Update Date: 07/15/2012
Medical Identifiers
Medical identifiers for Thomas Wallace Gitchel Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558616680 | NPI | - | NPPES |
| 2991615 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 377484 (Ohio) | Primary |
| 376K00000X | Nurse's Aide | 400929290609 (Ohio) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Wallace Gitchel Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thomas Wallace Gitchel Jr, STNA, RN
9470 Hunt Rd,
St Louisville, OH 43071-9758
Ph: (317) 695-0153 | Thomas Wallace Gitchel Jr, STNA, RN
9470 Hunt Rd,
St Louisville, OH 43071-9758
Ph: (317) 695-0153 |
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