| Dr Charles Penvose, DPM | |
|
1920 Tamarack Rd, Newark, OH 43055-2303 | |
| (740) 344-8286 | |
| (740) 522-0094 |
| Full Name | Dr Charles Penvose |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 8 Years |
| Location | 1920 Tamarack Rd, Newark, 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 |
|---|---|---|---|
| 1144853649 | NPI | - | NPPES |
| 0444143 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001444 (Georgia) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36.003998 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marietta Memorial Hospital | Marietta, OH | Hospital |
| Selby General Hospital | Marietta, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marietta Memorial Hospital | 8224928965 | 353 |
| Provider Name | Marietta Memorial Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962106328 PECOS PAC ID: 8224928965 Enrollment ID: O20040317000973 |
| Provider Name | Foot And Ankle Specialists Of Central Ohio Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629382247 PECOS PAC ID: 4981899408 Enrollment ID: O20101110000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Penvose, DPM 1920 Tamarack Rd, Newark, OH 43055-2303 Ph: (740) 344-8286 | Dr Charles Penvose, DPM 1920 Tamarack Rd, Newark, OH 43055-2303 Ph: (740) 344-8286 |
Dr. Catherine Chiodo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1272 W Main St, Building #4, Newark, OH 43055 Phone: 740-345-8800 Fax: 740-344-5829 | |
Ms. Cherreen Tawancy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1920 Tamarack Rd, Newark, OH 43055 Phone: 740-344-8286 Fax: 740-522-0094 | |
Foot And Ankle Specialists Of Central Ohio Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1920 Tamarack Rd, Newark, OH 43055 Phone: 740-344-8286 Fax: 740-522-0094 | |
Kenneth L Abram Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 843 N 21st St Ste 107, Newark, OH 43055 Phone: 740-366-3316 Fax: 740-366-0002 | |
Nadia Hameed, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1920 Tamarack Rd, Newark, OH 43055 Phone: 614-339-2000 | |
Son Tran, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1920 Tamarack Rd, Newark, OH 43055 Phone: 614-339-2000 Fax: 740-522-0094 |