| Matthew Steven Nienberg, PA | |
|
715 S Taft Ave, Fremont, OH 43420-3237 | |
| (419) 334-6639 | |
| (419) 333-2793 |
| Full Name | Matthew Steven Nienberg |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 715 S Taft Ave, Fremont, 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 |
|---|---|---|---|
| 1063661189 | NPI | - | NPPES |
| 0071619 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.002810 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Fremont, OH | Hospital |
| Bluffton Hospital | Bluffton, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Lima Memorial Health System | Lima, OH | Hospital |
| Fostoria Community Hospital | Fostoria, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialty Physicians Of Blanchard Valley Llc | 2668547613 | 111 |
| Memorial Hospital | 9739078528 | 5 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851338149 PECOS PAC ID: 9739078528 Enrollment ID: O20040311000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Steven Nienberg, PA 715 S Taft Ave, Fremont, OH 43420-3237 Ph: (419) 334-6661 | Matthew Steven Nienberg, PA 715 S Taft Ave, Fremont, OH 43420-3237 Ph: (419) 334-6639 |
Vrunder Latina Cooks, RMA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1312 Carbon St, Fremont, OH 43420 Phone: 419-559-4715 | |
Andrea Nicole Hayes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1479 N River Rd, Fremont, OH 43420 Phone: 419-355-9440 Fax: 419-355-9443 | |
Mrs. Marla D Carlisle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 605 Third Avenue, Suite B, Fremont, OH 43420 Phone: 567-201-2890 | |
Jaime L Fox, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 612-940-3709 | |
Alyssa Kromer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1479 N River Rd, Fremont, OH 43420 Phone: 419-355-9440 |