| Dr Jessica Danielle Martin Moreno, MD | |
|
36000 Euclid Ave, Willoughby, OH 44094-4625 | |
| (440) 953-9600 | |
| Not Available |
| Full Name | Dr Jessica Danielle Martin Moreno |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 36000 Euclid Ave, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912467754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 182677 (California) | Secondary |
| 207P00000X | Emergency Medicine | 147482 (Ohio) | Primary |
| Entity Name | Emergency Medicine Physicians Of Lake County Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154763944 PECOS PAC ID: 0042444051 Enrollment ID: O20131007000784 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Danielle Martin Moreno, MD 36000 Euclid Ave, Willoughby, OH 44094-4625 Ph: (440) 953-9600 | Dr Jessica Danielle Martin Moreno, MD 36000 Euclid Ave, Willoughby, OH 44094-4625 Ph: (440) 953-9600 |
Mark Lehman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-375-8166 | |
Edmundo R Mandac, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Marc Allen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Vijay Adusumilli, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Dr. Sofia Teresa Zindel Melgarejo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 | |
Barbara Jordan, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Stephanie Ann Schnetz, D,O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 |