| Lynn A Bolenbaugh, PA-C | |
|
578 N Leavitt Rd, Amherst, OH 44001-1131 | |
| (440) 989-3801 | |
| (440) 960-0264 |
| Full Name | Lynn A Bolenbaugh |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 578 N Leavitt Rd, Amherst, 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 |
|---|---|---|---|
| 1013131721 | NPI | - | NPPES |
| 3025372 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.001726RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercer County Joint Township Community Hospital | Coldwater, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Care Group Pc | 7416107487 | 29 |
| Entity Name | Mercer County Joint Township Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632 |
| Entity Name | Hospital Care Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295083624 PECOS PAC ID: 7416107487 Enrollment ID: O20121029000378 |
| Entity Name | Wooster Pain and Anesthesia Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616947 PECOS PAC ID: 1557500782 Enrollment ID: O20130620000172 |
| Entity Name | Midwest Hospitalist Physicians LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891242319 PECOS PAC ID: 9830487966 Enrollment ID: O20161005001890 |
| Entity Name | University Hospitals Cleveland Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043747454 PECOS PAC ID: 3274431879 Enrollment ID: O20170728000888 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn A Bolenbaugh, PA-C Po Box 636643, Cincinnati, OH 45263-6643 Ph: (440) 989-3801 | Lynn A Bolenbaugh, PA-C 578 N Leavitt Rd, Amherst, OH 44001-1131 Ph: (440) 989-3801 |
Mr. Luke D Nath, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 578 N Leavitt Rd, Amherst, OH 44001 Phone: 440-222-4611 |
Raquel Grant Venable, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 578 N Leavitt Rd, Amherst, OH 44001 Phone: 440-988-5226 Fax: 440-988-5645 |
Molly E Ennis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47185 Cooper Foster Park Rd, Amherst, OH 44001 Phone: 440-960-3954 Fax: 440-960-3956 |