| Tanisha Brown, | |
|
3646 E Main St, Whitehall, OH 43213-2913 | |
| (614) 231-8102 | |
| (614) 231-4801 |
| Full Name | Tanisha Brown |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 3646 E Main St, Whitehall, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235548926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-024362 (Ohio) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Mobile Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanisha Brown, 3646 E Main St, Whitehall, OH 43213-2913 Ph: (614) 231-8102 | Tanisha Brown, 3646 E Main St, Whitehall, OH 43213-2913 Ph: (614) 231-8102 |
Dr. Jennifer G Meyer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3646 E. Main St., Whitehall, OH 43213 Phone: 614-231-4800 |
Mrs. Ruby Pandey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3646 E Main St, Whitehall, OH 43213 Phone: 614-231-4800 Fax: 614-231-4801 |
Dr. Chun M. Wong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3646 E. Main Street, Whitehall, OH 43213 Phone: 614-231-8102 Fax: 614-231-4801 |
Hsuan-li Lin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3646 E. Main Street, Whitehall, OH 43213 Phone: 614-231-8102 Fax: 614-231-4801 |
Dr. Parker J Ferguson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4121 E Main St, Whitehall, OH 43213 Phone: 614-231-8000 Fax: 614-349-3347 |
Brandi Nicole Stephens, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3646 E. Main Street, Whitehall, OH 43213 Phone: 614-231-8102 Fax: 614-231-4801 |
Kimberly Holmes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3646 E Main St, Whitehall, OH 43213 Phone: 614-231-4800 |