Dr Abdalla Basim Abdalla, MD | |
730 W Market St, Lima, OH 45801-4667 | |
(419) 996-5558 | |
(419) 226-9521 |
Full Name | Dr Abdalla Basim Abdalla |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 730 W Market St, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952046682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35.151994 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 01096732A (Indiana) | Primary |
Entity Name | Mercy Emergency Care Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904 |
Mailing Address | Practice Location Address |
---|---|
Dr Abdalla Basim Abdalla, MD 16298 Remington Dr, Fishers, IN 46037-7416 Ph: (317) 970-1957 | Dr Abdalla Basim Abdalla, MD 730 W Market St, Lima, OH 45801-4667 Ph: (419) 996-5558 |
Stephanie Nicole Casey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-996-5723 | |
Susan L Payson, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-228-3335 Fax: 904-805-1302 | |
Geoffrey C Mitchell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 730 W Market St, Lima, OH 45801 Phone: 614-261-8256 | |
Samuel Cory, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 | |
Kerry Andrew Forrestal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 | |
Anthony Brym, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-998-4509 Fax: 304-523-2241 | |
Mary E Zelenak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 Fax: 419-226-9826 |