| Gunner Matthew Stall, | |
|
801 Medical Dr Ste A, Lima, OH 45804-4030 | |
| (419) 222-6622 | |
| (419) 224-0015 |
| Full Name | Gunner Matthew Stall |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 801 Medical Dr Ste A, Lima, 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 |
|---|---|---|---|
| 1558188938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Fremont, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Institute Of Ohio, Inc | 2860479078 | 74 |
| Curana Health Of Ohio | 3375924301 | 51 |
| Preferred Physician Services Of Ohio Llc | 7315328069 | 66 |
| Entity Name | Orthopaedic Institute of Ohio, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902886492 PECOS PAC ID: 2860479078 Enrollment ID: O20040706001065 |
| Entity Name | Mercy Medical Partners Northern Region Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
| Entity Name | Preferred Physician Services of Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538899638 PECOS PAC ID: 7315328069 Enrollment ID: O20220713001050 |
| Entity Name | Curana Health of Ohio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760114961 PECOS PAC ID: 3375924301 Enrollment ID: O20220721001870 |
| Entity Name | CH Specialty Services Oh LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326747734 PECOS PAC ID: 5799140984 Enrollment ID: O20230421001297 |
| Mailing Address | Practice Location Address |
|---|---|
| Gunner Matthew Stall, 801 Medical Dr Ste A, Lima, OH 45804-4030 Ph: (419) 222-6622 | Gunner Matthew Stall, 801 Medical Dr Ste A, Lima, OH 45804-4030 Ph: (419) 222-6622 |
Bailey Nelson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015 |
Alicia Thornton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-228-3335 |
Mrs. Natalie B Coon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804 Phone: 419-998-8207 Fax: 419-998-8216 |
Cameron Everett Pappa, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 830 W High St Ste 360, Lima, OH 45801 Phone: 419-227-7117 Fax: 419-227-2848 |
Kirsten Flanagan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-790-3395 |
Mrs. Sierra N Bielcassarino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1003 Bellefontaine Ave Ste 150, Lima, OH 45804 Phone: 419-998-8295 Fax: 419-226-8323 |
Timothy Ohlemacher, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 770 W High St Ste 160, Lima, OH 45801 Phone: 419-996-5224 Fax: 419-996-5276 |