| Marietta J Medel, MD | |
|
1005 Bellefontaine Ave Ste 350, Lima, OH 45804-2885 | |
| (419) 998-8200 | |
| (419) 998-8203 |
| Full Name | Marietta J Medel |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1005 Bellefontaine Ave Ste 350, 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 |
|---|---|---|---|
| 1548571490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35094582 (Ohio) | Primary |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta J Medel, MD 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 998-4575 | Marietta J Medel, MD 1005 Bellefontaine Ave Ste 350, Lima, OH 45804-2885 Ph: (419) 998-8200 |
Ali S Almudallal, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 770 W High St, Suite 160, Lima, OH 45801 Phone: 419-996-5224 Fax: 419-996-5276 | |
David Kashan, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 770 W High St Ste 300, Lima, OH 45801 Phone: 419-996-5033 Fax: 419-996-5266 | |
Dr. Richard A Nockowitz, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1800 Allentown Rd, Lima, OH 45805 Phone: 419-229-0415 Fax: 419-229-0419 | |
Dr. Eddy Severe Bruno, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 658 W Market St Ste 202, Lima, OH 45801 Phone: 419-225-8808 Fax: 419-222-7220 | |
Josef Froehlich, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 770 W High St, Suite 300, Lima, OH 45801 Phone: 419-996-5033 Fax: 419-996-5266 | |
Patricia Bauza, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-228-3335 |