| Kara Hertzfeld, MD | |
|
5805 Monclova Rd, Maumee, OH 43537-1839 | |
| (419) 824-1952 | |
| (419) 824-0344 |
| Full Name | Kara Hertzfeld |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 20 Years |
| Location | 5805 Monclova Rd, Maumee, 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 |
|---|---|---|---|
| 1174742472 | NPI | - | NPPES |
| 1174742472 | Other | MI | MI MEDICAID-OH LOCATIONS |
| P00900979 | Other | OH | RR MEDICARE |
| 1174742472 | Medicaid | MI | |
| 3085889 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 4301097412 (Michigan) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 35095467 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Promedica Defiance Regional Hospital | Defiance, OH | Hospital |
| Bay Park Community Hospital | Oregon, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Multi Specialty Physicians | 7113182809 | 141 |
| Promedica Multi Specialty Physicians | 7113182809 | 141 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | Promedica Multi Specialty Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306105150 PECOS PAC ID: 7113182809 Enrollment ID: O20120702000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Kara Hertzfeld, MD 1 Seagate Ste 800, Toledo, OH 43604-1558 Ph: (567) 585-1992 | Kara Hertzfeld, MD 5805 Monclova Rd, Maumee, OH 43537-1839 Ph: (419) 824-1952 |
Dr. Wainwright Anthony Jaggernauth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Medical Center Pkwy, Maumee, OH 43537 Phone: 419-794-7720 |