| Dr Sophia Grecos Mccullough, MD | |
|
1089 Pray Blvd, Waterville, OH 43566-8712 | |
| (567) 952-2100 | |
| (567) 952-2010 |
| Full Name | Dr Sophia Grecos Mccullough |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1089 Pray Blvd, Waterville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790788966 | NPI | - | NPPES |
| 0192437 | Medicaid | OH | |
| 029078500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35083028 (Ohio) | Primary |
| Entity Name | University Of Toledo Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sophia Grecos Mccullough, MD 3355 Glendale Ave., 3rd Floor, Toledo, OH 43614-4361 Ph: (567) 952-2100 | Dr Sophia Grecos Mccullough, MD 1089 Pray Blvd, Waterville, OH 43566-8712 Ph: (567) 952-2100 |
Dr. William A Suarez, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1089 Pray Blvd, Waterville, OH 43566 Phone: 567-952-2100 Fax: 567-952-2101 | |
Dr. Cathi Ann Badik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1089 Pray Blvd, Waterville, OH 43566 Phone: 567-952-2100 Fax: 567-952-2101 | |
Rosemary L. D'agostino, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1089 Pray Blvd, Waterville, OH 43566 Phone: 567-952-2100 Fax: 567-952-2101 | |
Dr. Valarie N Stricklen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1089 Pray Blvd, Waterville, OH 43566 Phone: 567-952-2100 Fax: 567-952-2101 |