| Plum Creek Associates, Inc. | |
| 
					5 South Main Street Suite 302 Oberlin OH 44074  | |
| (440) 775-7171 | |
| (440) 774-2339 | 
| Full Name | Plum Creek Associates, Inc. | 
|---|---|
| Speciality | Social Worker | 
| Location | 5 South Main Street, Oberlin, Ohio | 
| Authorized Official Name and Position | Edith Marya Fuchsman (PRESIDENT) | 
| Authorized Official Contact | 4407757171 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Plum Creek Associates, Inc. 5 South Main Street Suite 302 Oberlin OH 44074 Ph: (440) 775-7171  | Plum Creek Associates, Inc. 5 South Main Street Suite 302 Oberlin OH 44074 Ph: (440) 775-7171  | 
| NPI Number | 1346331030 | 
|---|---|
| Provider Enumeration Date | 09/27/2006 | 
| Last Update Date | 08/22/2020 | 
| Medicare PECOS PAC ID | 1254317514 | 
|---|---|
| Medicare Enrollment ID | O20040628000166 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346331030 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Ohio) | Primary | 
| Provider Name | Edith M Fuchsman | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1316968050 PECOS PAC ID: 9234115593 Enrollment ID: I20050715000703  | 
| Provider Name | Mary D Deucher | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1508984352 PECOS PAC ID: 0244331163 Enrollment ID: I20070723000456  | 
| Provider Name | Barbara Feldmar | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1104033257 PECOS PAC ID: 5395000376 Enrollment ID: I20180522000796  | 
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