| Stacy L Scudder, | |
|
6201 Gender Rd, Canal Winchester, OH 43110-2007 | |
| (614) 834-8042 | |
| (614) 837-8035 |
| Full Name | Stacy L Scudder |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 28 Years |
| Location | 6201 Gender Rd, Canal Winchester, 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 |
|---|---|---|---|
| 1598707515 | NPI | - | NPPES |
| 2191748 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34.007025 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | 2769383785 | 467 |
| Entity Name | Central Ohio Primary Care Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194705194 PECOS PAC ID: 2769383785 Enrollment ID: O20040114000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy L Scudder, 6201 Gender Rd, Canal Winchester, OH 43110-2007 Ph: (614) 834-8042 | Stacy L Scudder, 6201 Gender Rd, Canal Winchester, OH 43110-2007 Ph: (614) 834-8042 |
Nicholas Steve Stevens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7750 Diley Rd Ste A, Canal Winchester, OH 43110 Phone: 614-837-7337 Fax: 614-837-7335 | |
Julie R Javorek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6201 Gender Rd, Canal Winchester, OH 43110 Phone: 614-834-8042 Fax: 614-837-8035 | |
Laura V Bowser, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6201 Gender Rd, Canal Winchester, OH 43110 Phone: 614-834-8042 Fax: 614-837-8035 | |
Tyler Fick, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Diley Rd Ste 150, Canal Winchester, OH 43110 Phone: 614-355-9050 | |
Sara L Welsh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6201 Gender Rd, Canal Winchester, OH 43110 Phone: 614-834-8042 Fax: 614-837-8035 | |
Deborah L Blackwell, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Diley Rd Ste 150, Canal Winchester, OH 43110 Phone: 614-355-9050 |