| Lilly S Bontrager, MD | |
|
1800 E 5th St Ste 1, Delphos, OH 45833-9180 | |
| (419) 692-5611 | |
| (419) 695-9401 |
| Full Name | Lilly S Bontrager |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 1800 E 5th St Ste 1, Delphos, 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 |
|---|---|---|---|
| 1033120993 | NPI | - | NPPES |
| 22313 | Other | PHYSICIANS HEALTH PLAN | |
| P00465447 | Other | IN | RAILROAD MEDICARE |
| 000000518581 | Other | BLUE CROSS BLUE SHIELD | |
| 000000665045 | Other | IN | ANTHEM |
| 000000039572 | Other | MPLAN | |
| 200803540 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01061077A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 35137291 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fountain Park Home Care, Llc | Saint marys, OH | Home health agency |
| Community Health Professionals, Inc | Van wert, OH | Home health agency |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Lima Memorial Health System | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Lima, Llc | 3375607351 | 52 |
| Entity Name | Mercy Health Physicians Lima, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225292865 PECOS PAC ID: 3375607351 Enrollment ID: O20090206000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Lilly S Bontrager, MD Po Box 636930, Cincinnati, OH 45263-6930 Ph: () - | Lilly S Bontrager, MD 1800 E 5th St Ste 1, Delphos, OH 45833-9180 Ph: (419) 692-5611 |
Perry Monroe Hux, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 E 5th St, Suite 1, Delphos, OH 45833 Phone: 419-692-5611 Fax: 419-695-9401 | |
Carl Sylvester Wehri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 E Fifth St, Delphos, OH 45833 Phone: 419-692-1055 Fax: 419-692-4203 | |
Jason D Hageman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E 5th St Ste 1, Delphos, OH 45833 Phone: 419-692-5611 Fax: 419-695-9401 |