| Clyde Rorrer, DO | |
|
90 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (740) 446-5201 | |
| (740) 446-5761 |
| Full Name | Clyde Rorrer |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 90 Jackson Pike, Gallipolis, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811944804 | NPI | - | NPPES |
| 001721692 | Other | WV | BLUE CROSS BLUE SHIELD |
| 0043582000 | Medicaid | WV | |
| 3001158 | Other | WV | WORKERS COMPENSATION |
| 6404532100 | Medicaid | KY | |
| 0848024 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34.006789 (Ohio) | Primary |
| 207Q00000X | Family Medicine | 1297 (West Virginia) | Secondary |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Clyde Rorrer, DO 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5201 | Clyde Rorrer, DO 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5201 |
Joseph D. Crum, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5586 Fax: 740-446-5749 | |
Dr. Carlton Wayne Herald, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5533 Fax: 740-441-3318 | |
Gregory J. Mickunas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5201 Fax: 740-446-5761 | |
T. Wayne Munro, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5201 Fax: 740-446-5761 | |
Dr. Andrew Thomas Hughes, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5412 Fax: 740-446-5761 | |
Susheel S Kakde Sr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 | |
Dr. Philip C. Robbins, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5890 Fax: 740-446-5532 |