| Samuel Barnard, | |
|
2211 Timber Trl, Bellefontaine, OH 43311-9036 | |
| (937) 592-3808 | |
| Not Available |
| Full Name | Samuel Barnard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2211 Timber Trl, Bellefontaine, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366942542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.008323RX (Ohio) | Primary |
| Entity Name | Maple Leaf Family and Sports Medicine, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447328067 PECOS PAC ID: 7416844592 Enrollment ID: O20040303000227 |
| Entity Name | Lower Lights Christian Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033455209 PECOS PAC ID: 5193794188 Enrollment ID: O20140702000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Barnard, 417 E Brown Ave, Bellefontaine, OH 43311-2413 Ph: Not Available | Samuel Barnard, 2211 Timber Trl, Bellefontaine, OH 43311-9036 Ph: (937) 592-3808 |
Angie Marlene Castle, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 205 Palmer Ave, Bellefontaine, OH 43311 Phone: 937-592-4015 |
Sophia Do Vang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1860 S Main Street, Bellefontaine, OH 43311 Phone: 937-592-0727 |
Michelle Marie Grider, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Timber Trl, Bellefontaine, OH 43311 Phone: 937-595-0100 |
Tracy Lynn Detwiler, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Columbus Ave Ste 1, Bellefontaine, OH 43311 Phone: 937-599-1411 Fax: 937-599-4128 |
Zoe Louise Henderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 E Columbus Ave Ste 1, Bellefontaine, OH 43311 Phone: 937-599-4128 |
Neil Mast, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1134 N Main St Ste 3100, Bellefontaine, OH 43311 Phone: 937-592-9799 |
Stephanie A Young, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 165 Reynolds Ave Ste A, Bellefontaine, OH 43311 Phone: 937-441-5204 Fax: 937-592-0047 |