| 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 |