| Dr Thomas Gerard Zaciewski, MD | |
|
27 St Lawrence Dr, Suite 204, Tiffin, OH 44883-8312 | |
| (419) 455-8570 | |
| (419) 455-8579 |
| Full Name | Dr Thomas Gerard Zaciewski |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 27 St Lawrence Dr, Tiffin, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467618447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 57.013762 (Ohio) | Primary |
| 208800000X | Urology | 35.121250 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health - Tiffin Hospital | Tiffin, OH | Hospital |
| Wyandot Memorial Hospital | Upper sandusky, OH | Hospital |
| Mercy Health - Willard Hospital | Willard, OH | Hospital |
| Blanchard Valley Hospital | Findlay, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wyandot Memorial Hospital | 1557340189 | 64 |
| Mercy Health Physicians North Specialty Care Llc | 1951707884 | 309 |
| Specialty Physicians Of Blanchard Valley Llc | 2668547613 | 111 |
| Entity Name | Wyandot Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477554475 PECOS PAC ID: 1557340189 Enrollment ID: O20040716001163 |
| Entity Name | Specialty Physicians Of Blanchard Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689835415 PECOS PAC ID: 2668547613 Enrollment ID: O20080826000542 |
| Entity Name | Mercy Health Physicians-north Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Gerard Zaciewski, MD 27 St Lawrence Dr, Suite 204, Tiffin, OH 44883-8312 Ph: (419) 455-8570 | Dr Thomas Gerard Zaciewski, MD 27 St Lawrence Dr, Suite 204, Tiffin, OH 44883-8312 Ph: (419) 455-8570 |