| Primecare Of Southeastern Ohio, Inc. | |
|
751 Forest Ave Ste 402 Zanesville OH 43701-2878 | |
| (740) 454-4651 | |
| (740) 454-4653 |
| Full Name | Primecare Of Southeastern Ohio, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 751 Forest Ave Ste 402, Zanesville, Ohio |
| Authorized Official Name and Position | Dave Lucey (COO) |
| Authorized Official Contact | 7404544651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Of Southeastern Ohio, Inc. 860 Bethesda Dr Zanesville OH 43701-1800 Ph: (740) 454-4651 | Primecare Of Southeastern Ohio, Inc. 751 Forest Ave Ste 402 Zanesville OH 43701-2878 Ph: (740) 454-4651 |
| NPI Number | 1417932294 |
|---|---|
| Provider Enumeration Date | 12/14/2005 |
| Last Update Date | 03/25/2022 |
| Medicare PECOS PAC ID | 3173557204 |
|---|---|
| Medicare Enrollment ID | O20050919000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417932294 | NPI | - | NPPES |
| 0989499 | Medicaid | OH | |
| CA1586 | Other | MEDICARE RAILROAD |
| Provider Name | Angela Michelle Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710187521 PECOS PAC ID: 1557455755 Enrollment ID: I20070919000358 |
| Provider Name | Michael Zimmerer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760468268 PECOS PAC ID: 3678507704 Enrollment ID: I20080618000683 |
| Provider Name | Michael D Woolery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881699114 PECOS PAC ID: 1355408675 Enrollment ID: I20090331000374 |
| Provider Name | Carol J Derwacter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619953924 PECOS PAC ID: 9931223179 Enrollment ID: I20100825000517 |
| Provider Name | Walter J Wielkiewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063497824 PECOS PAC ID: 0840224986 Enrollment ID: I20100827000537 |
| Provider Name | Gregory L Kelso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306821178 PECOS PAC ID: 6608957642 Enrollment ID: I20100827000607 |
| Provider Name | Douglas A Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134105729 PECOS PAC ID: 2769416890 Enrollment ID: I20100827000624 |
| Provider Name | James Gasparine |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093908840 PECOS PAC ID: 3971771403 Enrollment ID: I20110727000399 |
| Provider Name | Kadi L Addy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033595673 PECOS PAC ID: 4789992678 Enrollment ID: I20150925001006 |
| Provider Name | Alissa A Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356726046 PECOS PAC ID: 6406155753 Enrollment ID: I20160509001170 |
| Provider Name | Seth L Vensil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891102489 PECOS PAC ID: 7315230422 Enrollment ID: I20160727001623 |
| Provider Name | Morgan Leigh Stephen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922512896 PECOS PAC ID: 5890058085 Enrollment ID: I20180423001644 |
| Provider Name | Billie Jo Rapol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518432897 PECOS PAC ID: 3072857507 Enrollment ID: I20181210002367 |
| Provider Name | Rachel N Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801361647 PECOS PAC ID: 9739411752 Enrollment ID: I20191024000939 |
| Provider Name | Caitlin N Lander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285246132 PECOS PAC ID: 2365857133 Enrollment ID: I20210209002631 |
| Provider Name | Brian W Luft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063498061 PECOS PAC ID: 7517048556 Enrollment ID: I20210212000511 |
| Provider Name | Kelley D Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871997312 PECOS PAC ID: 4880816123 Enrollment ID: I20210219000440 |
| Provider Name | Susan Beth Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619634193 PECOS PAC ID: 3476948902 Enrollment ID: I20220321001746 |
Genesis Urgent Care Physicians, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Maple Ave, Zanesville, OH 43701 Phone: 740-586-6821 | |
O.r.r.m.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3814 James Ct, Zanesville, OH 43701 Phone: 740-454-7119 Fax: 740-455-5155 | |
Muskingum Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 968 Pine St, Zanesville, OH 43701 Phone: 740-891-9000 | |
Muskingum Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Bethesda Dr Ste 140, Zanesville, OH 43701 Phone: 740-891-9000 Fax: 740-891-9001 | |
Muskingum Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3725 Panther Dr, Zanesville, OH 43701 Phone: 740-891-9000 | |
Orrmdinc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Maysville Pike, Suite B-3, Zanesville, OH 43701 Phone: 740-588-9820 Fax: 740-588-9821 | |
Muskingum Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Adair Ave, Zanesville, OH 43701 Phone: 740-891-9000 Fax: 740-891-9001 |