| Dr Jeremy Welwarth, DO | |
|
601 State Route 664 N, Logan, OH 43138-8541 | |
| (740) 380-8000 | |
| Not Available |
| Full Name | Dr Jeremy Welwarth |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 601 State Route 664 N, Logan, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841587649 | NPI | - | NPPES |
| 261968 | Other | MA | BOARD OF REGISTRATION IN MEDICINE |
| MW0990348G | Other | MA | CONTROLLED SUBSTANCES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 261968 (Massachusetts) | Secondary |
| 207P00000X | Emergency Medicine | 34.015345 (Ohio) | Primary |
| Entity Name | Medical Center Emergency Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902855711 PECOS PAC ID: 0648182071 Enrollment ID: O20031104000133 |
| Entity Name | Kalamazoo Emergency Associates, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Welwarth, DO 1 Deaconess Rd, Boston, MA 02215-5321 Ph: (617) 754-2349 | Dr Jeremy Welwarth, DO 601 State Route 664 N, Logan, OH 43138-8541 Ph: (740) 380-8000 |
George T Ralph, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 St Rt 664 Box 966, Logan, OH 43138 Phone: 740-380-8000 Fax: 740-380-2932 | |
Marie C Walters, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 Fax: 614-293-2809 | |
Lindsay L. Boik-price, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Michael S. Abrahams, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Mario C Villegas, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 710-380-8000 | |
Neal E Bucher, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Martin Phillip Kasofsky, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 |