| Madelyn B Hernandez, | |
|
400 Matthew St Ste B-1, Marietta, OH 45750-1644 | |
| (740) 376-5501 | |
| Not Available |
| Full Name | Madelyn B Hernandez |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 400 Matthew St Ste B-1, Marietta, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740784255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35.147557 (Ohio) | Primary |
| Entity Name | Marietta Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962106328 PECOS PAC ID: 8224928965 Enrollment ID: O20040317000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Madelyn B Hernandez, 655 Eden Park Dr Apt 519, Cincinnati, OH 45202-6065 Ph: (786) 877-8804 | Madelyn B Hernandez, 400 Matthew St Ste B-1, Marietta, OH 45750-1644 Ph: (740) 376-5501 |
James A Mcelroy, MD FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Matthew St, Ste 401, Marietta, OH 45750 Phone: 740-374-2252 Fax: 740-374-4974 | |
Tuan Cao Nguyen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Matthew St Ste 401, Marietta, OH 45750 Phone: 740-374-2252 Fax: 740-374-4974 | |
Lane M Lee, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Matthew St Ste 401, Marietta, OH 45750 Phone: 740-374-2252 Fax: 740-374-4974 | |
Bradley D Carman, DO FACOS Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Matthew St, Suite 401, Marietta, OH 45750 Phone: 740-374-2252 Fax: 740-374-4974 | |
Ravi Kumar Reddy Balireddy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940 | |
Richard Hutton Hershey, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 508 Fourth St, This Is Home Address Provider Is Retired, Marietta, OH 45750 Phone: 740-373-5772 Fax: 000-000-0000 | |
Vidas Dumasius, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Matthew St Ste B-1, Marietta, OH 45750 Phone: 740-376-5501 |