| Jeffrey S Eiden, MD | |
|
1740 N Perry St, Suite A, Ottawa, OH 45875-1173 | |
| (419) 523-0012 | |
| (419) 523-3416 |
| Full Name | Jeffrey S Eiden |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 1740 N Perry St, Ottawa, 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 |
|---|---|---|---|
| 1538118559 | NPI | - | NPPES |
| 000000550106 | Other | OH | ANTHEM BC/BS |
| P00170782 | Other | OH | RAILROAD CARE |
| 2118381 | Medicaid | OH | |
| P00472596 | Other | OH | RAILROAD CARE |
| 000000344042 | Other | OH | ANTHEM BC/BS |
| 728147 | Other | OH | BUCKEYE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35075406 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Lima, Llc | 3375607351 | 52 |
| Entity Name | Blanchard Valley Medical Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962501627 PECOS PAC ID: 9234168147 Enrollment ID: O20050811000177 |
| Entity Name | Mercy Health Physicians Lima, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225292865 PECOS PAC ID: 3375607351 Enrollment ID: O20090206000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S Eiden, MD 1740 N Perry St, Suite A, Ottawa, OH 45875-1173 Ph: (419) 523-0012 | Jeffrey S Eiden, MD 1740 N Perry St, Suite A, Ottawa, OH 45875-1173 Ph: (419) 523-0012 |
Katelyn Ann Leopold, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 N Perry St Ste A, Ottawa, OH 45875 Phone: 419-523-0012 Fax: 419-523-3416 | |
Jennifer R Maag, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Putnam Pkwy, Ottawa, OH 45875 Phone: 419-523-9632 Fax: 419-523-9636 | |
Dr. Tate Roger Church, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 N Perry St, Ottawa, OH 45875 Phone: 419-523-0012 |