| Andrea R Penepacker, MD | |
| 
					204 S Bellevue Ave, Dover, OH 44622-9405  | |
| (330) 343-3321 | |
| (330) 602-8712 | 
| Full Name | Andrea R Penepacker | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 204 S Bellevue Ave, Dover, Ohio | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467538892 | NPI | - | NPPES | 
| 2437456 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 35-082468 (Ohio) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrea R Penepacker, MD 204 S Bellevue Ave, Dover, OH 44622-9405 Ph: (330) 343-3321  | Andrea R Penepacker, MD 204 S Bellevue Ave, Dover, OH 44622-9405 Ph: (330) 343-3321  | 
Mohammed M Tamim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 659 Boulevard St, Dover, OH 44622 Phone: 440-242-1001  | |
Dr. Andrew Dwight Newburn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Oxford St Ste 310, Dover, OH 44622 Phone: 330-364-8011 Fax: 330-364-0058  |