| Oracle Pain Clinic, Inc. | |
|
4523 Cemetery Rd Hilliard OH 43026-1102 | |
| (614) 876-1618 | |
| (614) 876-1969 |
| Full Name | Oracle Pain Clinic, Inc. |
|---|---|
| Speciality | Pain Medicine |
| Location | 4523 Cemetery Rd, Hilliard, Ohio |
| Authorized Official Name and Position | Samuel Essandoh (PRESIDENT) |
| Authorized Official Contact | 6148761618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oracle Pain Clinic, Inc. 121 W 6th Ave Lancaster OH 43130-2587 Ph: (740) 687-5164 | Oracle Pain Clinic, Inc. 4523 Cemetery Rd Hilliard OH 43026-1102 Ph: (614) 876-1618 |
| NPI Number | 1336484294 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 9133374069 |
|---|---|
| Medicare Enrollment ID | O20130226000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336484294 | NPI | - | NPPES |
| 0079001 | Medicaid | OH |
| Provider Name | Samuel Essandoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467682948 PECOS PAC ID: 6901939529 Enrollment ID: I20121025000573 |
| Provider Name | Alec S Bisaha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932582202 PECOS PAC ID: 2062721871 Enrollment ID: I20151019000879 |
| Provider Name | Relindis Eyonghe Agbor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508172958 PECOS PAC ID: 4486016086 Enrollment ID: I20230817000495 |
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