| Dr Nicole L Wade, DO | |
|
944 Cherry St E, Canal Fulton, OH 44614-8669 | |
| (330) 854-4574 | |
| (330) 854-0829 |
| Full Name | Dr Nicole L Wade |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 944 Cherry St E, Canal Fulton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497714406 | NPI | - | NPPES |
| 43530000 | Medicaid | WI | |
| 0058772 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 48398 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | DOS-1975 (Hawaii) | Primary |
| 207Q00000X | Family Medicine | 34-010324 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Care Inc. | 1052207727 | 68 |
| Entity Name | Community Health Care Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114902137 PECOS PAC ID: 1052207727 Enrollment ID: O20040227000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole L Wade, DO 944 Cherry St E, Canal Fulton, OH 44614-8669 Ph: (330) 854-4574 | Dr Nicole L Wade, DO 944 Cherry St E, Canal Fulton, OH 44614-8669 Ph: (330) 854-4574 |
Rodney K. Ison, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 944 Cherry St E, Canal Fulton, OH 44614 Phone: 330-854-4574 Fax: 330-854-0829 | |
Dr. Kenneth J Biros, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9164 Ruby Ridge St Nw, Canal Fulton, OH 44614 Phone: 330-854-1892 Fax: 330-776-5557 | |
Pamela A Rucki, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 944 Cherry St E, Canal Fulton, OH 44614 Phone: 330-854-4574 Fax: 330-854-0829 | |
Ajay Nair, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 944 Cherry St E, Canal Fulton, OH 44614 Phone: 330-854-4574 Fax: 330-854-0829 |