| Mr Robert R Wisner Jr, PA C | |
|
269 Portland Way S, Galion, OH 44833-2312 | |
| (419) 462-4560 | |
| (419) 462-4566 |
| Full Name | Mr Robert R Wisner Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 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 |
|---|---|---|---|
| 1902876154 | NPI | - | NPPES |
| H375510 | Other | OH | MEDICARE |
| 0083696 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50001338 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avita Home Health And Hospice | Galion, OH | Home health agency |
| Galion Community Hospital | Galion, OH | Hospital |
| Bucyrus Community Hospital | Bucyrus, OH | Hospital |
| Avita Ontario | Ontario, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galion Community Hospital | 5496737439 | 40 |
| Entity Name | North Central Ohio Family Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689822827 PECOS PAC ID: 3274437082 Enrollment ID: O20031124000232 |
| Entity Name | Galion Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215907522 PECOS PAC ID: 5496737439 Enrollment ID: O20040603000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert R Wisner Jr, PA C 700 N Columbus St, Crestline, OH 44827-1455 Ph: (419) 468-0522 | Mr Robert R Wisner Jr, PA C 269 Portland Way S, Galion, OH 44833-2312 Ph: (419) 462-4560 |
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 |
Charles Robert Collier Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-0733 |
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 |