| Dr Michelle A Echevarria, MD | |
| 
					500 London Ave, Marysville, OH 43040-5512  | |
| (937) 644-6115 | |
| (937) 619-4150 | 
| Full Name | Dr Michelle A Echevarria | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 500 London Ave, Marysville, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386759181 | NPI | - | NPPES | 
| 103432 | Medicaid | OH | |
| 2523353 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 3508042 (Ohio) | Primary | 
| Entity Name | The Cleveland Clinic Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049  | 
| Entity Name | Emergency Professional Services, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864  | 
| Entity Name | Ohio Emergency Professionals Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michelle A Echevarria, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136  | Dr Michelle A Echevarria, MD 500 London Ave, Marysville, OH 43040-5512 Ph: (937) 644-6115  | 
Debra Lynn Brinker, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 London Avenue, Marysville, OH 43040 Phone: 937-578-2417 Fax: 937-578-2822  | |
Marcy L Pfeiffer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 London Ave, Marysville, OH 43040 Phone: 937-644-6115  | |
Brian S Seifferth, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 London Ave, Marysville, OH 43040 Phone: 937-644-6115  | |
Laurel J. Barr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 London Ave, Marysville, OH 43040 Phone: 800-875-0136 Fax: 937-619-4150  | |
Lori L Jogan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 London Ave, Marysville, OH 43040 Phone: 937-644-6115  | |
Victor A Trianfo, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 London Ave, Marysville, OH 43040 Phone: 937-644-6115  |