| Mara Tomaszewski, MD | |
|
85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
| (859) 912-7211 | |
| (859) 655-6674 |
| Full Name | Mara Tomaszewski |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 85 N Grand Ave, Fort Thomas, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245453059 | NPI | - | NPPES |
| 3086306 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 51747 (Kentucky) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 35.095658 (Ohio) | Secondary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Tomaszewski, MD 2300 Chamber Center Drive, Ft. Mitchell, KY 41017-1673 Ph: (859) 912-7211 | Mara Tomaszewski, MD 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (859) 912-7211 |
Dr. Erek Steven Majka, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-301-4688 Fax: 859-301-2607 | |
Dr. Bahar Mittal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 | |
Dr. William Lewis Stafford Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 |