| Patrick Mezu MD LLC | |
|
2400 Miami Valley Dr Centerville OH 45459-4774 | |
| (937) 660-6907 | |
| (937) 350-6477 |
| Full Name | Patrick Mezu MD LLC |
|---|---|
| Speciality | Hospitalist |
| Location | 2400 Miami Valley Dr, Centerville, Ohio |
| Authorized Official Name and Position | Patrick U Mezu (OWNER, AUTHORIZED SIGNER) |
| Authorized Official Contact | 9372389167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Mezu MD LLC Po Box 750084 Dayton OH 45475-0084 Ph: (937) 238-9167 | Patrick Mezu MD LLC 2400 Miami Valley Dr Centerville OH 45459-4774 Ph: (937) 660-6907 |
| NPI Number | 1881092096 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 6002133766 |
|---|---|
| Medicare Enrollment ID | O20150318001396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881092096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35076704 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 35076704 (Ohio) | Primary |
| Provider Name | Patrick Uche Mezu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912924861 PECOS PAC ID: 2062556533 Enrollment ID: I20100222000521 |
| Provider Name | Amber M Welin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770359507 PECOS PAC ID: 9335589134 Enrollment ID: I20240426001694 |
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