| Breanna L Laudick, PA | |
|
45 St Lawrence Dr, Tiffin, OH 44883-8310 | |
| (419) 455-7480 | |
| (419) 455-7482 |
| Full Name | Breanna L Laudick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 45 St Lawrence Dr, Tiffin, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578029641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 50.005874RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blanchard Valley Hospital | Findlay, OH | Hospital |
| Bluffton Hospital | Bluffton, OH | Hospital |
| Mercy Health - Tiffin Hospital | Tiffin, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialty Physicians Of Blanchard Valley Llc | 2668547613 | 117 |
| Entity Name | Specialty Physicians of Blanchard Valley LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689835415 PECOS PAC ID: 2668547613 Enrollment ID: O20080826000542 |
| Entity Name | Mercy Health Physicians-north LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
| Entity Name | Mercy Health Physicians North Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna L Laudick, PA 45 St Lawrence Dr, Tiffin, OH 44883-8310 Ph: (419) 455-7480 | Breanna L Laudick, PA 45 St Lawrence Dr, Tiffin, OH 44883-8310 Ph: (419) 455-7480 |
Kyle D. Dorkoskie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27 St Lawrence Dr Ste 204, Tiffin, OH 44883 Phone: 419-455-8570 Fax: 419-455-8579 |
Jay Christopher Vela, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3101 W Us Highway 224, Tiffin, OH 44883 Phone: 419-448-0220 |
Mrs. Jennifer Elizabeth Perry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 27 St Lawrence Dr, Suite 204, Tiffin, OH 44883 Phone: 419-455-8570 Fax: 419-455-8579 |