| St Marys Medical Group Inc. | |
|
1132 Hager St Saint Marys OH 45885-2423 | |
| (419) 394-5851 | |
| (419) 394-0702 |
| Full Name | St Marys Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1132 Hager St, Saint Marys, Ohio |
| Authorized Official Name and Position | Alfredo A Paguirigan (PRESIDENT) |
| Authorized Official Contact | 4193945851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Marys Medical Group Inc. 1132 Hager St Saint Marys OH 45885-2423 Ph: (419) 394-5851 | St Marys Medical Group Inc. 1132 Hager St Saint Marys OH 45885-2423 Ph: (419) 394-5851 |
| NPI Number | 1922110642 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 1850567363 |
|---|---|
| Medicare Enrollment ID | O20120105000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922110642 | NPI | - | NPPES |
| 4466481 | Other | OH | AETNA |
| 000000127763 | Other | OH | ANTHEM |
| 0333535 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-032121P (Ohio) | Primary |
| Provider Name | Matthew C Riesen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497947998 PECOS PAC ID: 7810132685 Enrollment ID: I20130327000067 |
Angela Rogers Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1134 Hager St, Saint Marys, OH 45885 Phone: 937-538-1884 | |
Brementown Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Saint Clair Ave, Saint Marys, OH 45885 Phone: 419-629-2662 |