| Jennifer R Maag, MD | |
|
102 Putnam Pkwy, Ottawa, OH 45875-8657 | |
| (419) 523-9632 | |
| (419) 523-9636 |
| Full Name | Jennifer R Maag |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 102 Putnam Pkwy, Ottawa, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689841900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01067107A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 35.097228 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Putnam County Homecare | Ottawa, OH | Home health agency |
| Lima Memorial Health System | Lima, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Autumn Court | Ottawa, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lima Memorial Professional Corporation | 1254232184 | 190 |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer R Maag, MD 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 998-4575 | Jennifer R Maag, MD 102 Putnam Pkwy, Ottawa, OH 45875-8657 Ph: (419) 523-9632 |
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 | |
Jeffrey S Eiden, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 N Perry St, Suite A, Ottawa, OH 45875 Phone: 419-523-0012 Fax: 419-523-3416 | |
Dr. Tate Roger Church, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 N Perry St, Ottawa, OH 45875 Phone: 419-523-0012 |