| Dr Patsy Buccino, DO | |
|
24 S State St, Girard, OH 44420-2907 | |
| (330) 545-3467 | |
| (330) 545-5041 |
| Full Name | Dr Patsy Buccino |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 24 S State St, Girard, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982673232 | NPI | - | NPPES |
| 341712257 | Other | OH | FEDERAL ID |
| 0776941 | Medicaid | OH | |
| 341712257-00 | Other | OH | BWC GROUP ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-00-4593-B (Ohio) | Primary |
| Entity Name | Patsy Buccino D O Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902005291 PECOS PAC ID: 6608961453 Enrollment ID: O20071009000333 |
| Entity Name | Triad Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patsy Buccino, DO 24 South State Street, Girard, OH 44420-2907 Ph: (330) 545-3467 | Dr Patsy Buccino, DO 24 S State St, Girard, OH 44420-2907 Ph: (330) 545-3467 |
David Angelo Delliquadri, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 E Liberty St, Girard, OH 44420 Phone: 330-545-8643 Fax: 330-545-6557 | |
John Phillip Delliquadri, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 E Liberty St, Girard, OH 44420 Phone: 330-545-8643 Fax: 330-545-6557 | |
Dr. James Joseph Enyeart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 E Liberty St, Girard, OH 44420 Phone: 330-545-8814 Fax: 330-545-5008 | |
David Robert Delliquadri, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 116 E Liberty St, Girard, OH 44420 Phone: 330-545-8643 Fax: 330-545-6557 |