| Shelby K Raiser, DO | |
|
41 Foster Dr, Thornville, OH 43076-8010 | |
| (740) 246-6361 | |
| (740) 246-4722 |
| Full Name | Shelby K Raiser |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 41 Foster Dr, Thornville, 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 |
|---|---|---|---|
| 1396725271 | NPI | - | NPPES |
| 000000592373 | Other | ANTHEM | |
| 311518750029 | Other | OH | CARESOURCE |
| 2622899 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34008545 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caretenders Vna | Lancaster, OH | Home health agency |
| Genesis Hospital | Zanesville, OH | Hospital |
| Fairfield Medical Center | Lancaster, OH | Hospital |
| Licking Memorial Hospital | Newark, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Group Of Southeastern Ohio Inc | 8628232469 | 55 |
| Entity Name | Thornville Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447226931 PECOS PAC ID: 6608897426 Enrollment ID: O20100315000450 |
| Entity Name | Physicians Group Of Southeastern Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528177730 PECOS PAC ID: 8628232469 Enrollment ID: O20231205003249 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby K Raiser, DO Po Box 1821, Zanesville, OH 43702-1821 Ph: (740) 455-3304 | Shelby K Raiser, DO 41 Foster Dr, Thornville, OH 43076-8010 Ph: (740) 246-6361 |
Dr. Larry Ira Cowan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Foster Dr, Thornville, OH 43076 Phone: 740-246-6361 Fax: 740-246-4722 | |
Melissa Koppelman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Foster Dr, Thornville, OH 43076 Phone: 740-246-6361 Fax: 740-246-5722 |