| Pratik M Vaishnav, MD | |
|
401 Matthew St, Emergency Department, Marietta, OH 45750-1635 | |
| (740) 376-1939 | |
| (740) 374-1693 |
| Full Name | Pratik M Vaishnav |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 401 Matthew St, Marietta, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982655833 | NPI | - | NPPES |
| P01036918 | Other | OH | RAILROAD MEDICARE PTAN |
| 2653203 | Medicaid | OH | |
| 3810005301 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35087579 (Ohio) | Primary |
| Entity Name | River Valley Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891756870 PECOS PAC ID: 3971506932 Enrollment ID: O20060810000601 |
| Entity Name | Hles Of Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679806301 PECOS PAC ID: 2961549209 Enrollment ID: O20091020000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Pratik M Vaishnav, MD Po Box 449, Marietta, OH 45750-0449 Ph: (740) 374-4500 | Pratik M Vaishnav, MD 401 Matthew St, Emergency Department, Marietta, OH 45750-1635 Ph: (740) 376-1939 |
Janelle A Thomas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Emergency Dept, Marietta, OH 45750 Phone: 740-374-1400 | |
Julian Adam John Jakubowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Emergency Department, Marietta, OH 45750 Phone: 740-376-1939 Fax: 740-374-1693 | |
Geoffrey Sirockman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 Matthew St, Emergency Department, Marietta, OH 45750 Phone: 740-568-5669 Fax: 740-568-5279 | |
Conley Diaz-gomez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1939 Fax: 740-374-1693 | |
Terry L Carr, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 Matthew St, Emergency Department, Marietta, OH 45750 Phone: 740-376-1939 | |
Dr. Cady Noelle Kennedy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew Street, Emergency Department, Marietta, OH 45750 Phone: 740-568-5669 | |
Ryan Nagy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-568-5669 |