| Scheidler Medical Preferred, Llc | |
|
543 Park Ave Hamilton OH 45013-3033 | |
| (513) 737-0257 | |
| (513) 737-3627 |
| Full Name | Scheidler Medical Preferred, Llc |
|---|---|
| Speciality | General Practice |
| Location | 543 Park Ave, Hamilton, Ohio |
| Authorized Official Name and Position | Kathy Hubbard (PRACTICE MANAGER) |
| Authorized Official Contact | 5137370257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scheidler Medical Preferred, Llc 543 Park Ave Hamilton OH 45013-3033 Ph: (513) 737-0257 | Scheidler Medical Preferred, Llc 543 Park Ave Hamilton OH 45013-3033 Ph: (513) 737-0257 |
| NPI Number | 1780935254 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Medicare PECOS PAC ID | 5698998565 |
|---|---|
| Medicare Enrollment ID | O20140521001845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780935254 | NPI | - | NPPES |
| 0101002 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Stanley Earl Scheidler |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548243900 PECOS PAC ID: 7517994593 Enrollment ID: I20050721000123 |
| Provider Name | Allison Jean Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376367722 PECOS PAC ID: 2961938337 Enrollment ID: I20241209002227 |
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