| Mrs Penelope Mashburn, DO | |
|
27 St. Lawrence Dr., Suite203, Tiffin, OH 44883 | |
| (305) 575-9978 | |
| (419) 455-8564 |
| Full Name | Mrs Penelope Mashburn |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 27 St. Lawrence Dr., Tiffin, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154650117 | NPI | - | NPPES |
| 0106134 | Medicaid | OH | |
| 34011231 | Other | OH | OHIO MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34.011231 (Ohio) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | P12-00612 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trumbull Regional Medical Center | Warren, OH | Hospital |
| Sharon Regional Health System | Sharon, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Medical Group Inc | 2860688728 | 602 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902347438 PECOS PAC ID: 2860688728 Enrollment ID: O20170515002104 |
| Entity Name | Insight Foundation Of Trumbull |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265268957 PECOS PAC ID: 9830626779 Enrollment ID: O20241217001779 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Penelope Mashburn, DO 2200 Jefferson Ave, 4th Floor, Toledo, OH 43604-7101 Ph: () - | Mrs Penelope Mashburn, DO 27 St. Lawrence Dr., Suite203, Tiffin, OH 44883 Ph: (305) 575-9978 |
Dr. Robert A Cecchino, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 27 St Lawrence Dr, Suite 203, Tiffin, OH 44883 Phone: 419-455-8560 Fax: 419-455-8564 |