| Polly Fleet Train, MD | |
|
1140 S Knoxville Ave Ste B, Saint Marys, OH 45885-2609 | |
| (419) 394-7314 | |
| (419) 394-7313 |
| Full Name | Polly Fleet Train |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 22 Years |
| Location | 1140 S Knoxville Ave Ste B, Saint Marys, 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 |
|---|---|---|---|
| 1659492916 | NPI | - | NPPES |
| H261773 | Other | OH | MEDICARE PTAN |
| 0067286 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35.097288 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Lake Health System | Saint marys, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jtdm Family Practice Llc | 2163415837 | 43 |
| 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 |
| Entity Name | Knox Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Polly Fleet Train, MD 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 300-1129 | Polly Fleet Train, MD 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885-2609 Ph: (419) 394-7314 |
Mitchell E Nutt, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1067 Hager St, Grand Lake Ob/gyn, Saint Marys, OH 45885 Phone: 419-394-3387 Fax: 419-394-7313 | |
Eyra Adjoa Agudu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1067 Hager St, Saint Marys, OH 45885 Phone: 419-394-7311 Fax: 419-394-7313 |