| Buckeye Family Healthcare | |
|
3477 Commerce Pkwy Ste A Wooster OH 44691-7126 | |
| (330) 601-0999 | |
| Not Available |
| Full Name | Buckeye Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 3477 Commerce Pkwy Ste A, Wooster, Ohio |
| Authorized Official Name and Position | Mark Stutzman (OWNER) |
| Authorized Official Contact | 3306010999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Family Healthcare 3477 Commerce Pkwy Ste A Wooster OH 44691-7126 Ph: (330) 601-0999 | Buckeye Family Healthcare 3477 Commerce Pkwy Ste A Wooster OH 44691-7126 Ph: (330) 601-0999 |
| NPI Number | 1790473601 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 5890140032 |
|---|---|
| Medicare Enrollment ID | O20231009002145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790473601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Hannah E Miedel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568435451 PECOS PAC ID: 0547291494 Enrollment ID: I20070815000160 |
| Provider Name | Lisa a Malys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013172121 PECOS PAC ID: 5092985234 Enrollment ID: I20140624001289 |
| Provider Name | Mark a Stutzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659536761 PECOS PAC ID: 7315110434 Enrollment ID: I20140714001436 |
| Provider Name | Rachel Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790493864 PECOS PAC ID: 5294197810 Enrollment ID: I20230815000504 |
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My Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Beall Ave, Wooster, OH 44691 Phone: 330-264-0247 Fax: 330-264-0463 |
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