| Prem Mathai, MD | |
|
150 Mcmillen Dr, Newark, OH 43055-1811 | |
| (220) 564-7985 | |
| (220) 564-7986 |
| Full Name | Prem Mathai |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 17 Years |
| Location | 150 Mcmillen Dr, Newark, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518192780 | NPI | - | NPPES |
| 0112828 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35.125013 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Licking Memorial Hospital | Newark, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Licking Memorial Health Professionals | 6204740731 | 235 |
| Entity Name | Licking Memorial Health Professionals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Prem Mathai, MD 150 Mcmillen Dr, Newark, OH 43055-1811 Ph: (220) 564-7985 | Prem Mathai, MD 150 Mcmillen Dr, Newark, OH 43055-1811 Ph: (220) 564-7985 |
Meghan Elizabeth Schulze, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Messimer Dr, Newark, OH 43055 Phone: 220-564-4870 |
James Michael Oaks, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Messimer Drive, Newark, OH 43055 Phone: 740-348-4870 Fax: 740-348-4871 |
Sara Casto Rochester, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Messimer Dr, Newark, OH 43055 Phone: 220-564-4873 Fax: 220-564-4871 |
Dr. Noman Ahmed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 150 Mcmillen Dr, Newark, OH 43055 Phone: 220-564-7985 Fax: 220-564-7986 |
Dr. Michelle Anne Monro, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Messimer Dr, Newark, OH 43055 Phone: 220-564-4873 |
Gloria M Galloway, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 150 Mcmillen Dr, Newark, OH 43055 Phone: 220-564-7985 Fax: 220-564-7986 |
Dr. Elizabeth A Yoder, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Messimer Dr, Newark, OH 43055 Phone: 220-564-4873 Fax: 220-564-1871 |