| Elizabeth Ann Gegorski, | |
|
500 W Market St, Tiffin, OH 44883-2610 | |
| (419) 455-8150 | |
| (419) 455-8159 |
| Full Name | Elizabeth Ann Gegorski |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 500 W Market St, Tiffin, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659908978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35.147308 (Ohio) | Primary |
| 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 |
| Entity Name | Northwest Pediatric Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ann Gegorski, 500 W Market St, Tiffin, OH 44883-2610 Ph: (419) 455-8150 | Elizabeth Ann Gegorski, 500 W Market St, Tiffin, OH 44883-2610 Ph: (419) 455-8150 |
Christian Arthur Meade, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 433 W Market St, Tiffin, OH 44883 Phone: 419-455-8150 Fax: 419-455-8159 | |
Sarah Sewell, Pediatrics Medicare: Medicare Enrolled Practice Location: 500 W Market St, Tiffin, OH 44883 Phone: 419-455-8150 Fax: 419-455-8159 | |
Romena I Moorjani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 W Market St, Tiffin, OH 44883 Phone: 419-455-8150 | |
Dr. Prasad C Kakarala, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 455 W Market St, Tiffin, OH 44883 Phone: 419-448-8118 Fax: 419-448-6748 |