| Robert Woollen Mueller, MD | |
|
1717 W Main St, Suite 201, Newark, OH 43055-1347 | |
| (220) 564-2900 | |
| (220) 564-2901 |
| Full Name | Robert Woollen Mueller |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 38 Years |
| Location | 1717 W Main St, 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 |
|---|---|---|---|
| 1316916752 | NPI | - | NPPES |
| 2152414 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 35077513 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Licking Memorial Hospital Home Care | Newark, OH | Home health agency |
| Licking Memorial Hospital | Newark, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Licking Memorial Professional Corporation | 6204740731 | 218 |
| Entity Name | Licking Memorial Professional Corporation |
|---|---|
| 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 |
|---|---|
| Robert Woollen Mueller, MD 1717 W Main St, Suite 201, Newark, OH 43055-1347 Ph: (220) 564-2900 | Robert Woollen Mueller, MD 1717 W Main St, Suite 201, Newark, OH 43055-1347 Ph: (220) 564-2900 |
John D Quimjian, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1980 Tamarack Rd, Newark, OH 43055 Phone: 740-788-9220 Fax: 740-788-9226 | |
Zackary Birchard, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 West Main St Ste 203, Newark, OH 43055 Phone: 220-564-2900 Fax: 220-564-2901 | |
Andrew Terlecky, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 W Main St, Suite 201, Newark, OH 43055 Phone: 220-564-2900 Fax: 220-564-2901 | |
Kevin Michael Ouweleen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 W Main St, Suite 201, Newark, OH 43055 Phone: 220-564-2900 Fax: 220-564-2901 | |
David M Jackson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1980 Tamarack Rd, Newark, OH 43055 Phone: 740-788-9220 Fax: 740-788-9226 |