| Jeremy D Engel, MD | |
|
602 W Redskin Trl, Wapakoneta, OH 45895-9349 | |
| (419) 738-5151 | |
| (419) 941-1092 |
| Full Name | Jeremy D Engel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 602 W Redskin Trl, Wapakoneta, 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 |
|---|---|---|---|
| 1497792584 | NPI | - | NPPES |
| 2270484 | Medicaid | OH | |
| 080159288 | Other | KY | RAILROAD MEDICARE |
| 64013303 | Medicaid | KY | |
| P00839905 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35995 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 35.076158 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lima Memorial Health System | Lima, OH | Hospital |
| Wapakoneta Manor | Wapakoneta, 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 |
|---|---|
| Jeremy D Engel, MD 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 228-3335 | Jeremy D Engel, MD 602 W Redskin Trl, Wapakoneta, OH 45895-9349 Ph: (419) 738-5151 |
Dr. Parmie A Herman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 W Auglaize St, Wapakoneta, OH 45895 Phone: 419-738-9601 Fax: 419-941-1368 | |
Susan M Kaufman, D.O Family Medicine Medicare: Medicare Enrolled Practice Location: 1251 Lincoln Hwy, Suite 1, Wapakoneta, OH 45895 Phone: 419-738-5151 Fax: 419-941-1092 | |
Heather Selby, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 W Auglaize St, Wapakoneta, OH 45895 Phone: 419-738-9601 Fax: 419-738-6459 | |
Ms. Tracy Lynn Sharp, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Defiance St, Wapakoneta, OH 45895 Phone: 419-996-5122 Fax: 419-996-5123 | |
Dr. Mathew M Jose, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1015 S Blackhoof St, Wapakoneta, OH 45895 Phone: 419-738-3317 Fax: 419-738-5952 | |
Dr. George A Herman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1007 W Auglaize St, Wapakoneta, OH 45895 Phone: 419-738-9601 Fax: 419-941-1368 |