| Stephanie Marie Weckesser, MD | |
|
970 W Wooster St, Suite 130, Bowling Green, OH 43402-2643 | |
| (419) 352-6890 | |
| (419) 353-2415 |
| Full Name | Stephanie Marie Weckesser |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 970 W Wooster St, Bowling Green, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497910061 | NPI | - | NPPES |
| 0061307 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35097856 (Ohio) | Primary |
| Entity Name | Blanchard Valley Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083665251 PECOS PAC ID: 3971404187 Enrollment ID: O20040120000179 |
| Entity Name | Wood Health Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598776916 PECOS PAC ID: 7911800461 Enrollment ID: O20040130000837 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Marie Weckesser, MD 745 Haskins Rd, Suite B, Bowling Green, OH 43402-1600 Ph: (419) 353-7069 | Stephanie Marie Weckesser, MD 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2643 Ph: (419) 352-6890 |
Mrs. Syeda S. Ahmed, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 960 W. Wooster Street, Suite 216, Bowling Green, OH 43402 Phone: 419-354-3123 Fax: 419-352-3939 | |
Melissa Anne Moore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 970 W Wooster St, Suite 130, Bowling Green, OH 43402 Phone: 419-352-6890 Fax: 419-353-2415 | |
Mr. Mohammed K Ahmed, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 970 W Wooster St, Ste 130, Bowling Green, OH 43402 Phone: 419-352-6890 Fax: 419-353-2415 | |
Michael Lemon, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 970 W Wooster St Rm 130, Bowling Green, OH 43402 Phone: 419-352-6890 | |
Claire Elise Natsios, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 970 W Wooster St Rm 130, Bowling Green, OH 43402 Phone: 419-352-6890 |