| Martin Menosky Md Llc | |
|
564 Mill Park Dr Lancaster OH 43130-7744 | |
| (740) 687-2430 | |
| (740) 687-2807 |
| Full Name | Martin Menosky Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 564 Mill Park Dr, Lancaster, Ohio |
| Authorized Official Name and Position | Martin E Menosky (OWNER) |
| Authorized Official Contact | 7406872430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Menosky Md Llc 564 Mill Park Dr Lancaster OH 43130-7744 Ph: (740) 687-2430 | Martin Menosky Md Llc 564 Mill Park Dr Lancaster OH 43130-7744 Ph: (740) 687-2430 |
| NPI Number | 1912267022 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 07/20/2016 |
| Medicare PECOS PAC ID | 7416113006 |
|---|---|
| Medicare Enrollment ID | O20120726000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912267022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Martin E Menosky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780660886 PECOS PAC ID: 2365354578 Enrollment ID: I20031106000209 |
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