| Susan M Kaufman, DO | |
|
1251 Lincoln Hwy, Suite 1, Wapakoneta, OH 45895-7356 | |
| (419) 738-5151 | |
| (419) 941-1092 |
| Full Name | Susan M Kaufman |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1251 Lincoln Hwy, Wapakoneta, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053316489 | NPI | - | NPPES |
| 25-1754199 | Other | PA | SELECTCARE |
| 0025215401 | Other | NY | UNIVERA INSURANCE CO |
| 080169885 | Other | PA | RAILROAD MEDICARE PIN |
| 25-1754199 | Other | PA | INTERGROUP |
| 2725313 | Other | PA | CIGNA |
| 0011702840010 | Medicaid | PA | |
| 25-1754199 | Other | PA | UNITED HEALTHCARE |
| 303685 | Other | PA | UPMC HEALTH PLAN |
| KA580453 | Other | PA | HIGHMARK |
| 0011702840011 | Medicaid | PA | |
| 0011702840005 | Medicaid | PA | |
| 25-1754199 | Other | PA | DEVON |
| 3126316 | Medicaid | OH | |
| 25-1754199 | Other | PA | VANTAGE |
| 580453 | Other | PA | BLUE SHIELD |
| 25-1754199 | Other | PA | HEALTH AMERICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006866L (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 34010062 (Ohio) | Primary |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Kaufman, DO 951 Commerce Pkwy, Suite 101, Lima, OH 45804-4040 Ph: (419) 998-4575 | Susan M Kaufman, DO 1251 Lincoln Hwy, Suite 1, Wapakoneta, OH 45895-7356 Ph: (419) 738-5151 |
Dr. Parmie A Herman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 W Auglaize St, Wapakoneta, OH 45895 Phone: 419-738-9601 Fax: 419-941-1368 | |
Heather Selby, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 W Auglaize St, Wapakoneta, OH 45895 Phone: 419-738-9601 Fax: 419-738-6459 | |
Ms. Tracy Lynn Sharp, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Defiance St, Wapakoneta, OH 45895 Phone: 419-996-5122 Fax: 419-996-5123 | |
Dr. Mathew M Jose, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1015 S Blackhoof St, Wapakoneta, OH 45895 Phone: 419-738-3317 Fax: 419-738-5952 | |
Dr. George A Herman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1007 W Auglaize St, Wapakoneta, OH 45895 Phone: 419-738-9601 Fax: 419-941-1368 | |
Jeremy D Engel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 W Redskin Trl, Wapakoneta, OH 45895 Phone: 419-738-5151 Fax: 419-941-1092 |