| Dr Andrew G Libertin, MD | |
|
832 S Main St, Orrville, OH 44667-2208 | |
| (330) 684-4771 | |
| (330) 684-2075 |
| Full Name | Dr Andrew G Libertin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 832 S Main St, Orrville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568467561 | NPI | - | NPPES |
| 4307999 | Other | OH | AETNA # |
| 100013700 | Other | OH | RR MEDICARE PIN # |
| CC9333 | Other | OH | RR MEDICARE GROUP # |
| 0975888 | Medicaid | OH | |
| 341773267D | Other | OH | AULTCARE # |
| 91656 | Other | OH | QUALCHOICE # |
| 2900613 | Other | OH | UNITED HEALTHCARE # |
| 341773267 | Other | OH | COMMERCIA CARRIERS |
| 0696064 | Medicaid | OH | |
| 000000138316 | Other | OH | ANTHEM BCBS # |
| 2735441001 | Other | OH | CIGNA # |
| 34177326700 | Other | OH | BWC GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 35.055141 (Ohio) | Primary |
| Entity Name | The Gastroenterology Clinic & Endoscopy Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952497117 PECOS PAC ID: 3274429477 Enrollment ID: O20040225000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew G Libertin, MD 7777 Hearthstone Ave Nw, Canton, OH 44720-6971 Ph: (234) 237-9932 | Dr Andrew G Libertin, MD 832 S Main St, Orrville, OH 44667-2208 Ph: (330) 684-4771 |
Kalpana Raghunathan, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 830 S Main St Ste 101, Orrville, OH 44667 Phone: 330-684-1300 Fax: 330-682-0565 | |
Dr. Mark J Tereletsky, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 830 S Main St, Orrville, OH 44667 Phone: 330-684-1300 |