| Charles Robert Collier Iii, PA-C | |
|
269 Portland Way S, Galion, OH 44833-2312 | |
| (419) 468-0733 | |
| Not Available |
| Full Name | Charles Robert Collier Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 269 Portland Way S, Galion, 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 |
|---|---|---|---|
| 1275969677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 003838 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marion General Hospital | Marion, OH | Hospital |
| Grady Memorial Hospital | Delaware, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Radiology And Interventional Associates Inc | 8729976964 | 251 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Riverside Radiology and Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20040309000317 |
| Entity Name | Ohio Emergency Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
| Entity Name | Marion Area Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053 |
| Entity Name | Ohio Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184028524 PECOS PAC ID: 1658695424 Enrollment ID: O20150127000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Robert Collier Iii, PA-C 332 Congress Park Dr, Dayton, OH 45459-4133 Ph: (800) 726-3627 | Charles Robert Collier Iii, PA-C 269 Portland Way S, Galion, OH 44833-2312 Ph: (419) 468-0733 |
Haley Danielle Kamenik, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-4841 |
Ms. Laurie A Cullen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 955 Hosford Rd, Galion, OH 44833 Phone: 419-468-7059 Fax: 419-468-6962 |
Mrs. Kelly Yvonne Osborne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-4841 |
Raygan Ciballi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-462-3839 Fax: 419-462-3840 |
William J Lewis, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-4841 Fax: 419-462-0500 |
Mr. Denver Alan Russell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-4841 |
Mr. Robert R Wisner Jr., PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-462-4560 Fax: 419-462-4566 |