| Beverly Scholler, MD | |
|
25950 Dixie Hwy Ste 400, Perrysburg, OH 43551-2983 | |
| (567) 585-0010 | |
| (567) 225-3490 |
| Full Name | Beverly Scholler |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 25950 Dixie Hwy Ste 400, Perrysburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780686675 | NPI | - | NPPES |
| 0634067 | Other | OH | AETNA |
| 12-01205 | Other | OH | UHC |
| 370012703 | Other | OH | RRMC |
| 000000141231 | Other | OH | ANTHEM |
| 00306 | Other | OH | PARAMOUNT |
| 0729975 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35056704 (Ohio) | Primary |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Scholler, MD 25950 Dixie Hwy Ste 400, Perrysburg, OH 43551-2983 Ph: (567) 585-0010 | Beverly Scholler, MD 25950 Dixie Hwy Ste 400, Perrysburg, OH 43551-2983 Ph: (567) 585-0010 |
Jon R Dvorak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196 | |
Carol A Kennedy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196 | |
Vidya K Ramanathan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196 | |
Dr. Jennifer K. Fallon-delucia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 28555 Starbright Blvd Ste B, Perrysburg, OH 43551 Phone: 419-931-3030 Fax: 419-931-3046 | |
Kenneth A Turk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 Brigham Dr Ste 240, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196 | |
Dr. Jacob N Maciejewski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-847-0196 | |
Dr. Colleen J Olson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr Ste 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196 |