| Jerald Eckman, | |
|
8645 Mallard Cir, Plain City, OH 43064-6004 | |
| (610) 250-4000 | |
| Not Available |
| Full Name | Jerald Eckman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 8645 Mallard Cir, Plain City, 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 |
|---|---|---|---|
| 1356756159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 57.026858 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aultman Hospital | Canton, OH | Hospital |
| Highland District Hospital | Hillsboro, OH | Hospital |
| Alliance Community Hospital | Alliance, OH | Hospital |
| Aultman Orrville Hospital | Orrville, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of Canton Inc | 7012829260 | 38 |
| Entity Name | Radiology Associates Of Canton Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912982034 PECOS PAC ID: 7012829260 Enrollment ID: O20031105000231 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
| Entity Name | Aultman Now Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1225662927 PECOS PAC ID: 7719318633 Enrollment ID: O20200509000328 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerald Eckman, 79 Stevenson Dr, Marlboro, NJ 07746-2717 Ph: () - | Jerald Eckman, 8645 Mallard Cir, Plain City, OH 43064-6004 Ph: (610) 250-4000 |