| Diane Dieckman Jenkins, DO | |
|
600 N Pickaway St, Circleville, OH 43113-2409 | |
| (740) 474-2126 | |
| (740) 477-1022 |
| Full Name | Diane Dieckman Jenkins |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 600 N Pickaway St, Circleville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023075116 | NPI | - | NPPES |
| 000000316758 | Other | OH | BCBS |
| P00093121 | Other | OH | RR MEDICARE |
| 0937053 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34003715M (Ohio) | Primary |
| Entity Name | Ohio Emergency Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Dieckman Jenkins, DO 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Diane Dieckman Jenkins, DO 600 N Pickaway St, Circleville, OH 43113-2409 Ph: (740) 474-2126 |
Charles Jay Marti, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 | |
William A Jenkins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 | |
Brett Allan Call, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 | |
Ronald B Taylor, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-420-8253 | |
Harvey James Pierce Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1434 Circleville Plaza Dr, Circleville, OH 43113 Phone: 740-420-7975 | |
Gangadhar Dattatraya Sangvai, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Pickaway St, Circleville, OH 43113 Phone: 740-474-2126 Fax: 740-477-1022 |