| Mrs Pearl Eleanor Hennan-hain, DO | |
|
115 N 3rd St, Ironton, OH 45638-1471 | |
| (740) 377-2712 | |
| Not Available |
| Full Name | Mrs Pearl Eleanor Hennan-hain |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 115 N 3rd St, Ironton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871597815 | NPI | - | NPPES |
| 64011059 | Medicaid | KY | |
| 000000550502 | Other | KY | ANTHEM BCBS |
| 2771429 | Medicaid | OH | |
| 000000076728 | Other | KY | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 02639 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 34.014539 (Ohio) | Primary |
| Entity Name | Ironton & Lawrence County Area Community Action Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093022287 PECOS PAC ID: 8820902497 Enrollment ID: O20031118000239 |
| Entity Name | Ironton & Lawrence County Area Community Action Organization |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1215014113 PECOS PAC ID: 8820902497 Enrollment ID: O20100325000713 |
| Entity Name | Ironton & Lawrence County Area Community Action Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912254574 PECOS PAC ID: 8820902497 Enrollment ID: O20130404000170 |
| Entity Name | Ironton & Lawrence County Area Community Action Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770839276 PECOS PAC ID: 8820902497 Enrollment ID: O20130507000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Pearl Eleanor Hennan-hain, DO 115 N 3rd St, Ironton, OH 45638-1471 Ph: (740) 302-1777 | Mrs Pearl Eleanor Hennan-hain, DO 115 N 3rd St, Ironton, OH 45638-1471 Ph: (740) 377-2712 |
Amanda Dawn Workman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1408 Campbell Dr, Suite 201, Ironton, OH 45638 Phone: 740-534-9202 | |
Kimberly A Oxley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 205 Marion Pike, Ironton, OH 45638 Phone: 740-534-9195 Fax: 740-532-1183 | |
Dr. Monica Evette Cline, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1408 Campbell Dr, Ironton, OH 45638 Phone: 740-534-9195 | |
Dr. Khin Thida, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1408 Campbell Dr, Ironton, OH 45638 Phone: 740-534-9195 Fax: 740-534-9327 | |
Maryam Sadiq, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 912 Park Ave, Ironton, OH 45638 Phone: 740-532-9403 Fax: 740-532-9425 |