| Michele Ann Mirch, DO | |
|
272 Hospital Rd, Chillicothe, OH 45601-9031 | |
| (740) 779-4300 | |
| Not Available |
| Full Name | Michele Ann Mirch |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 272 Hospital Rd, Chillicothe, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710989579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34005492 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 34005492 (Ohio) | Primary |
| Entity Name | Hilo Benioff Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962584060 PECOS PAC ID: 1254422900 Enrollment ID: O20070809000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Ann Mirch, DO 102 East St, Fairport Harbor, OH 44077-5710 Ph: (440) 781-3515 | Michele Ann Mirch, DO 272 Hospital Rd, Chillicothe, OH 45601-9031 Ph: (740) 779-4300 |
Thomas Robinson, Hospitalist Medicare: Medicare Enrolled Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 740-779-7500 | |
Jason R Tatka, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 740-779-7500 | |
Sathish V Jetty, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4439 State Route 159, Ste G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4390 |