| Mara C Harris, | |
|
770 W High St Ste 160, Lima, OH 45801-5900 | |
| (419) 996-5224 | |
| (419) 996-5276 |
| Full Name | Mara C Harris |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 770 W High St Ste 160, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750879706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 34015782 (Ohio) | Primary |
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
| Mailing Address | Practice Location Address |
|---|---|
| Mara C Harris, 770 W High St Ste 160, Lima, OH 45801-5900 Ph: () - | Mara C Harris, 770 W High St Ste 160, Lima, OH 45801-5900 Ph: (419) 996-5224 |
Dr. Susan Lee Hubbell, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 939 W Market St, Ste 1, Lima, OH 45805 Phone: 419-228-5434 Fax: 419-228-4620 | |
Kurt Alan Kuhlman, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 939 W Market St, Ste 1, Lima, OH 45805 Phone: 419-228-5434 Fax: 419-228-4620 | |
Ronald Lee Bonfiglio, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 770 W High St Ste 160, Lima, OH 45801 Phone: 419-996-5224 Fax: 419-996-5276 | |
William Wei-jung Chang, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 770 W High St Ste 160, Lima, OH 45801 Phone: 419-996-5224 Fax: 419-996-5276 | |
Mary Ann Myers, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 750 W High St, Suite 240, Lima, OH 45801 Phone: 419-996-5224 Fax: 419-996-5276 | |
Dr. Grace Dasari, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr, Suite A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015 | |
Matthew Thomas Owens, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 770 W High St Ste 160, Lima, OH 45801 Phone: 419-996-5224 Fax: 419-996-5276 |