| Dr Timothy Wayne Mummert, DO | |
|
2861 E Harbor Rd, Port Clinton, OH 43452-2665 | |
| (419) 734-5587 | |
| (419) 732-1553 |
| Full Name | Dr Timothy Wayne Mummert |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 2861 E Harbor Rd, Port Clinton, 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 |
|---|---|---|---|
| 1265426993 | NPI | - | NPPES |
| 0815461 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 005235 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Magruder Hospital | Port clinton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magruder Medical Group Ltd | 1951675198 | 11 |
| Entity Name | Magruder Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871015578 PECOS PAC ID: 1951675198 Enrollment ID: O20170926004144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Wayne Mummert, DO 2861 E Harbor Rd, Port Clinton, OH 43452-2665 Ph: (419) 734-5587 | Dr Timothy Wayne Mummert, DO 2861 E Harbor Rd, Port Clinton, OH 43452-2665 Ph: (419) 734-5587 |
Dr. Quang Kim Le, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 615 Fulton St, Port Clinton, OH 43452 Phone: 419-734-3131 | |
Barry Reed Cover, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 621 Fulton St, Port Clinton, OH 43452 Phone: 419-732-6520 Fax: 419-734-5414 | |
Leonardo T Que, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Fulton St, Suite E, Port Clinton, OH 43452 Phone: 419-734-4539 Fax: 419-734-6365 | |
Panju Prithviraj, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 Fulton St, Port Clinton, OH 43452 Phone: 419-734-3131 Fax: 419-732-4046 | |
Dr. Virgie U Que, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1790 N Lakewood Ave, Port Clinton, OH 43452 Phone: 419-734-4539 Fax: 419-734-6365 |