Dr Heather Marie Dicross, MD | |
1076 E State St, Salem, OH 44460-2228 | |
(330) 543-2778 | |
Not Available |
Full Name | Dr Heather Marie Dicross |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1076 E State St, Salem, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912291964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.154448 (Ohio) | Primary |
208000000X | Pediatrics | MED-PHYS-LIC-34163 (Montana) | Secondary |
Entity Name | Livingston Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245222306 PECOS PAC ID: 5991613598 Enrollment ID: O20031122000111 |
Mailing Address | Practice Location Address |
---|---|
Dr Heather Marie Dicross, MD 46351 State Route 14, Columbiana, OH 44408-9553 Ph: (330) 509-9861 | Dr Heather Marie Dicross, MD 1076 E State St, Salem, OH 44460-2228 Ph: (330) 543-2778 |
Marcia L. Marhefka, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1076 E State St, Salem, OH 44460 Phone: 330-332-2710 Fax: 330-332-2725 | |
Dr. Danielle Renee Macabobby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1076 E State St, Salem, OH 44460 Phone: 330-332-2710 Fax: 330-332-2725 | |
Dr. Madeleine Ana Ortiz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1076 E State St, Salem, OH 44460 Phone: 330-332-2710 Fax: 330-332-2725 | |
Karla A Mcnair, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1076 E State St, Salem, OH 44460 Phone: 330-332-2710 Fax: 330-332-2725 |