| Bluffton Physicians | |
|
132 Garau St Bluffton OH 45817-1028 | |
| (419) 358-5916 | |
| (419) 358-2302 |
| Full Name | Bluffton Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 132 Garau St, Bluffton, Ohio |
| Authorized Official Name and Position | Marion I Shelly (DOCTOR) |
| Authorized Official Contact | 4193585916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluffton Physicians Po Box 69 132 Garau St Bluffton OH 45817-0069 Ph: (419) 358-5916 | Bluffton Physicians 132 Garau St Bluffton OH 45817-1028 Ph: (419) 358-5916 |
| NPI Number | 1023238771 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 03/21/2013 |
| Medicare PECOS PAC ID | 4183657257 |
|---|---|
| Medicare Enrollment ID | O20050919000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023238771 | NPI | - | NPPES |
| 0422582 | Medicaid | OH | |
| 04277 | Other | OH | PARAMOUNT |
| 4508989 | Other | OH | AETNA |
| 22000000164882 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Teresa Elizabeth Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821159575 PECOS PAC ID: 8527092451 Enrollment ID: I20050921000119 |
| Provider Name | Marion I Shelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558429746 PECOS PAC ID: 4981637055 Enrollment ID: I20100812000147 |
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