| Michael C Josey, MD | |
|
1140 S Knoxville Ave Ste A, Saint Marys, OH 45885-2609 | |
| (419) 394-9959 | |
| (419) 394-0255 |
| Full Name | Michael C Josey |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 37 Years |
| Location | 1140 S Knoxville Ave Ste A, Saint Marys, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407866262 | NPI | - | NPPES |
| 0105065 | Other | OH | MEDICAID GROUP |
| 9934723 | Other | OH | MEDICARE GROUP PTAN |
| 0206191 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 35-068572 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fountain Park Home Care, Llc | Saint marys, OH | Home health agency |
| Grand Lake Home Health | St marys, OH | Home health agency |
| Grand Lake Health System | Saint marys, OH | Hospital |
| Mercer County Joint Township Community Hospital | Coldwater, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jtdm Family Practice Llc | 2163415837 | 48 |
| Entity Name | Jtdm Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Josey, MD 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 300-1129 | Michael C Josey, MD 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885-2609 Ph: (419) 394-9959 |
Matthew C Riesen, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1132 Hager St, Saint Marys, OH 45885 Phone: 419-394-5851 Fax: 419-394-0702 |