| Jessie Entwistle, | |
|
1805 27th St, Portsmouth, OH 45662-2640 | |
| (740) 356-5000 | |
| (740) 356-6387 |
| Full Name | Jessie Entwistle |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 1805 27th St, Portsmouth, 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 |
|---|---|---|---|
| 1629487665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34.012445 (Ohio) | Primary |
| 207P00000X | Emergency Medicine | 2020023514 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie Entwistle, 1735 27th St, Waller Bldg. Suite B 06, Portsmouth, OH 45662-2677 Ph: (740) 356-6800 | Jessie Entwistle, 1805 27th St, Portsmouth, OH 45662-2640 Ph: (740) 356-5000 |
Dr. Matthew Ray Harcha, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Dr. Meghan Kelly Mccormick, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Lauren B Wright, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th Street, Somc Emergency Department, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Brandon Larrington, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Amanda Paden, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 Fax: 740-356-6387 | |
Stephen M Lyon, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Derek Harmon, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1735 27th St, Waller Building, Suite B06, Portsmouth, OH 45662 Phone: 740-356-8051 Fax: 740-353-7900 |