| New Carlisle Family Practice Llc | |
|
432 N Main St New Carlisle OH 45344-1427 | |
| (937) 846-4000 | |
| (937) 846-4004 |
| Full Name | New Carlisle Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 432 N Main St, New Carlisle, Ohio |
| Authorized Official Name and Position | Ashok P Devatha (PHYSICIAN) |
| Authorized Official Contact | 9378464000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Carlisle Family Practice Llc 432 N Main St New Carlisle OH 45344-1427 Ph: (937) 846-4000 | New Carlisle Family Practice Llc 432 N Main St New Carlisle OH 45344-1427 Ph: (937) 846-4000 |
| NPI Number | 1699891085 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 04/04/2014 |
| Medicare PECOS PAC ID | 4082741921 |
|---|---|
| Medicare Enrollment ID | O20100423000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699891085 | NPI | - | NPPES |
| 2059883 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35073686D (Ohio) | Primary |
| Provider Name | Ashok P Devatha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497740328 PECOS PAC ID: 0648256545 Enrollment ID: I20040629001188 |
Health Partners Of Western Ohio Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 N Main St, New Carlisle, OH 45344 Phone: 937-667-1122 Fax: 419-225-8878 | |
Honeycreek Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 432 N Main St, New Carlisle, OH 45344 Phone: 937-846-4000 Fax: 937-846-4004 |