| Rebecca M Burgoon, PA | |
|
5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | |
| (419) 843-7996 | |
| (419) 841-7704 |
| Full Name | Rebecca M Burgoon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 5700 Monroe St Unit 103, Sylvania, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013233055 | NPI | - | NPPES |
| 0103145 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007063 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 50.003035 (Ohio) | Primary |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | Mercy Health Physicians-north LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
| Entity Name | Mercy Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca M Burgoon, PA 1 Seagate Ste 800, Toledo, OH 43604-1558 Ph: (419) 843-7996 | Rebecca M Burgoon, PA 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 Ph: (419) 843-7996 |
Jeromy Lee Balduf, PA-C, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St Unit 310, Sylvania, OH 43560 Phone: 419-578-7555 Fax: 419-539-6336 |
Ryan Joseph Szenderski, P A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7640 Sylvania Avenue, # 100, Sylvania, OH 43560 Phone: 419-473-2273 Fax: 419-473-0474 |
Jenna Yeager, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7640 Sylvania Ave Ste B, Sylvania, OH 43560 Phone: 419-517-8178 Fax: 419-517-8188 |
Mackenzie Nicole Schrinel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St Unit 103, Sylvania, OH 43560 Phone: 419-843-7996 |
Natalie L Walkup, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5308 Harroun Rd # 285, Sylvania, OH 43560 Phone: 419-824-5633 Fax: 419-824-5953 |
Mrs. Katherine Hay Romp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5308 Harroun Rd Ste 280, Sylvania, OH 43560 Phone: 419-524-5668 Fax: 419-885-6919 |
Nicole Renee Lasich, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5308 Harroun Rd Ste 280, Sylvania, OH 43560 Phone: 567-585-2080 |