| Buckeye Family Healthcare | |
|
3477 Commerce Parkway Suite A Wooster OH 44691-6109 | |
| (330) 601-0999 | |
| (330) 601-0935 |
| Full Name | Buckeye Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 3477 Commerce Parkway, Wooster, Ohio |
| Authorized Official Name and Position | Kimberly I Williams (PRACTICE MANAGER) |
| 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 Suite A Wooster OH 44691-7126 Ph: (330) 601-0999 | Buckeye Family Healthcare 3477 Commerce Parkway Suite A Wooster OH 44691-6109 Ph: (330) 601-0999 |
| NPI Number | 1235574500 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 10/06/2016 |
| Medicare PECOS PAC ID | 3577705854 |
|---|---|
| Medicare Enrollment ID | O20130815000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235574500 | NPI | - | NPPES |
| 2341942 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35080332 (Ohio) | Primary |
| Provider Name | Scott Andrew Hannan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366491797 PECOS PAC ID: 4082719638 Enrollment ID: I20070410000643 |
| 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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Wooster Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1740 Cleveland Rd, Wooster, OH 44691 Phone: 330-287-4500 | |
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