| Dr Mark E Corcoran, MD | |
|
1300 N County Road 25a, Troy, OH 45373-1359 | |
| (937) 332-0894 | |
| (937) 339-7084 |
| Full Name | Dr Mark E Corcoran |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1300 N County Road 25a, Troy, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740220854 | NPI | - | NPPES |
| 0629341 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.053772 (Ohio) | Primary |
| 208M00000X | Hospitalist | 35.053772 (Ohio) | Secondary |
| Entity Name | Samaritan Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659503886 PECOS PAC ID: 5092608372 Enrollment ID: O20040203000210 |
| Entity Name | Upper Valley Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407872518 PECOS PAC ID: 5597658138 Enrollment ID: O20040206000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark E Corcoran, MD 392 E Stonequarry Rd Ste 441, Vandalia, OH 45377-9677 Ph: (937) 308-0056 | Dr Mark E Corcoran, MD 1300 N County Road 25a, Troy, OH 45373-1359 Ph: (937) 332-0894 |
Ajay Paul Sodhi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 W Main St, Troy, OH 45373 Phone: 937-395-6665 Fax: 937-395-6668 | |
Susan Beth Grau, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3130 N County Road 25a, Troy, OH 45373 Phone: 937-440-4466 Fax: 937-440-7177 | |
Irina A. Gendler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 998 S Dorset Rd, 204, Troy, OH 45373 Phone: 937-339-9865 Fax: 937-440-7243 | |
Andrew Fellers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Stanfield Rd Ste A, Troy, OH 45373 Phone: 937-339-5355 Fax: 937-339-3056 | |
Nabila Habib Bibawy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3130 N County Road 25a, Troy, OH 45373 Phone: 937-440-4466 Fax: 937-440-4470 | |
Kendall Erdahl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 W Main St Ste 330, Troy, OH 45373 Phone: 937-980-7400 Fax: 937-980-7409 | |
Dr. Julio Cesar Soto Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 S Stanfield Rd Ste 306, Troy, OH 45373 Phone: 937-440-7655 |