| Dr Laurence Matthew Baibak, MD | |
|
12621 Eckel Junction Rd Ste 2400, Perrysburg, OH 43551-1304 | |
| (419) 887-7000 | |
| (419) 887-5701 |
| Full Name | Dr Laurence Matthew Baibak |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 12621 Eckel Junction Rd Ste 2400, Perrysburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255303590 | NPI | - | NPPES |
| 0876922 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 35-059965 (Ohio) | Primary |
| Entity Name | Arrowhead Plastic Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962576454 PECOS PAC ID: 7113053687 Enrollment ID: O20100429000632 |
| Entity Name | Mercy Medical Partners Northern Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669756532 PECOS PAC ID: 0244407823 Enrollment ID: O20120123000509 |
| Entity Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Entity Name | Mercy Medical Partners Northern Region Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laurence Matthew Baibak, MD 12621 Eckel Junction Rd Ste 2400, Perrysburg, OH 43551-1304 Ph: (419) 887-7000 | Dr Laurence Matthew Baibak, MD 12621 Eckel Junction Rd Ste 2400, Perrysburg, OH 43551-1304 Ph: (419) 887-7000 |
Dr. Carlton Jefferson Kesler, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12621 Eckel Junction Rd Ste 2400, Perrysburg, OH 43551 Phone: 419-887-7000 Fax: 419-887-5701 | |
April Devos, NP Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7015 Lighthouse Way Ste 300, Perrysburg, OH 43551 Phone: 419-520-7546 | |
Dr. Athanasios Thomas Dalagiannis, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12621 Eckel Junction Rd Ste 2400, Perrysburg, OH 43551 Phone: 419-887-7000 Fax: 419-887-5701 |