| Thomas M Picklow, MD | |
|
1200 Clark St, Cambridge, OH 43725-9611 | |
| (740) 439-8997 | |
| (740) 439-8996 |
| Full Name | Thomas M Picklow |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 1200 Clark St, Cambridge, 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 |
|---|---|---|---|
| 1598772709 | NPI | - | NPPES |
| 1900532 | Other | OH | UNITED HEALTH CARE |
| 1900234 | Other | OH | UNITED HEALTH CARE |
| PI817202 | Other | PA | HIGHMARK |
| 0959904 | Medicaid | OH | |
| 53865 | Other | OH | QUALCHOICE |
| 340010224 | Other | GA | PALMETTO GBA RAILROAD MED |
| 1900410 | Other | OH | UNITED HEALTH CARE |
| 000000137273 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35063543 (Ohio) | Primary |
| 208800000X | Urology | MD057848L (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ashtabula County Medical Center | Ashtabula, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ashtabula County Medical Center | 2668465600 | 63 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Ashtabula County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Picklow, MD 1350 Clark St, Cambridge, OH 43725-9614 Ph: (740) 439-0733 | Thomas M Picklow, MD 1200 Clark St, Cambridge, OH 43725-9611 Ph: (740) 439-8997 |
Dr. Benjamin R Gibson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1225 Woodlawn Ave Ste 114, Cambridge, OH 43725 Phone: 740-213-7129 Fax: 440-201-6574 |