| Fred Corder Jr, PA-C | |
|
440 Browns Ln, Coshocton, OH 43812-2044 | |
| (740) 622-0332 | |
| Not Available |
| Full Name | Fred Corder Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 440 Browns Ln, Coshocton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164586400 | NPI | - | NPPES |
| 50.000341 | Other | OH | PA-C LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.000341 (Ohio) | Primary |
| Entity Name | Prime Healthcare Foundation - Coshocton, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013468172 PECOS PAC ID: 8820379662 Enrollment ID: O20170110000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Corder Jr, PA-C 946 Severn Dr, Coshocton, OH 43812-2737 Ph: (740) 622-4916 | Fred Corder Jr, PA-C 440 Browns Ln, Coshocton, OH 43812-2044 Ph: (740) 622-0332 |
Michelle Garber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 406 S 15th St, Coshocton, OH 43812 Phone: 740-295-3331 Fax: 740-295-3332 |
Laura Marie Hart, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1460 Orange Streeet, Coshocton, OH 43812 Phone: 740-622-6411 |
Mrs. Shannon Wilkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 406 S 15th St, Coshocton, OH 43812 Phone: 740-295-3331 Fax: 740-295-3332 |
Madelaine Nichole Applegate, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 440 Browns Ln, Coshocton, OH 43812 Phone: 740-295-3331 Fax: 740-622-0599 |