| Maumee Bay Family Practice, Inc. | |
|
4330 Navarre Ave Suite 103 Oregon OH 43616-3578 | |
| (419) 691-7820 | |
| (419) 691-7593 |
| Full Name | Maumee Bay Family Practice, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4330 Navarre Ave, Oregon, Ohio |
| Authorized Official Name and Position | Tara S Robinson (PRESIDENT OWNER) |
| Authorized Official Contact | 4196917820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maumee Bay Family Practice, Inc. 4330 Navarre Ave Suite 103 Oregon OH 43616-3578 Ph: (419) 691-7820 | Maumee Bay Family Practice, Inc. 4330 Navarre Ave Suite 103 Oregon OH 43616-3578 Ph: (419) 691-7820 |
| NPI Number | 1952403776 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 04/01/2011 |
| Medicare PECOS PAC ID | 9931139904 |
|---|---|
| Medicare Enrollment ID | O20050818000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952403776 | NPI | - | NPPES |
| 2343128 | Medicaid | OH | |
| 724392 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35078608R (Ohio) | Primary |
| Provider Name | Tara Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689677890 PECOS PAC ID: 0547290512 Enrollment ID: I20120312000018 |
Manuel S Bernardo M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3515 Navarre Ave, Oregon, OH 43616 Phone: 419-691-5484 | |
Horizons Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2741 Navarre Ave, Ste 401, Oregon, OH 43616 Phone: 419-693-7071 Fax: 419-693-3051 | |
Bay Meadows Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2815 Dustin Rd, Suite C, Oregon, OH 43616 Phone: 419-691-6781 Fax: 419-691-0082 | |
Jack Siebenaler Ii Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3232 Navarre Ave, Oregon, OH 43616 Phone: 419-691-0636 Fax: 419-693-1412 | |
Josephine F Collaco Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Isaac Streets Dr, Suite 104, Oregon, OH 43616 Phone: 419-698-4642 Fax: 419-698-8597 | |
Ingrid A. Alcover, Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Isaac Streets Dr, Suite 133, Oregon, OH 43616 Phone: 419-696-7727 Fax: 419-696-7737 | |
Northwest Ohio Primary Care Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2815 Dustin Rd, Suite C, Oregon, OH 43616 Phone: 419-691-6781 Fax: 419-691-0082 |