Third Street Community Clinic, Inc. - Medicare Primary Care in Mansfield, OH

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Third Street Community Clinic, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Mansfield, Ohio. The current practice location for Third Street Community Clinic, Inc. is 770 Balgreen Drive, Suite 207, Mansfield, Ohio. For appointments, you can reach them via phone at (419) 522-6800. The mailing address for Third Street Community Clinic, Inc. is 1404 Park Ave W, Ste 2, Mansfield, Ohio and phone number is (419) 522-6191.

Third Street Community Clinic, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1649599119. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (419) 522-6800.

Contact Information

Third Street Community Clinic, Inc.
770 Balgreen Drive
Suite 207
Mansfield
OH 44906-2633
(419) 522-6800
(419) 522-6816

Map and Direction


Primary Care Clinic Profile

Full NameThird Street Community Clinic, Inc.
SpecialityClinic/Center
Location770 Balgreen Drive, Mansfield, Ohio
Authorized Official Name and PositionPeggy Anderson (CEO)
Authorized Official Contact4195267880
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Third Street Community Clinic, Inc.
1404 Park Ave W
Ste 2
Mansfield
OH 44906-2633

Ph: (419) 522-6191		Third Street Community Clinic, Inc.
770 Balgreen Drive
Suite 207
Mansfield
OH 44906-2633

Ph: (419) 522-6800

NPI Details:

NPI Number1649599119
Provider Enumeration Date05/24/2010
Last Update Date10/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2365423977
Medicare Enrollment IDO20040528000770

Medical Identifiers

Medical identifiers for Third Street Community Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649599119NPI-NPPES
3111957MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Third Street Community Clinic, Inc. acts as a billing entity for following providers:
Provider NameJessica Rose Brent
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1225293020
PECOS PAC ID: 8022157411
Enrollment ID: I20091209000367
Provider NameColleen R Shaughency
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619123288
PECOS PAC ID: 3678604006
Enrollment ID: I20100629000863
Provider NameJiri Sonek
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023013976
PECOS PAC ID: 1153301718
Enrollment ID: I20100830000094
Provider NameDavid J Etzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881999555
PECOS PAC ID: 0648439315
Enrollment ID: I20120315000669
Provider NameAdarsh Krishen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013924125
PECOS PAC ID: 9931362829
Enrollment ID: I20120511000150
Provider NameOphelia Ramirez Mailloux
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710106984
PECOS PAC ID: 4486801701
Enrollment ID: I20120821000972
Provider NameCristina Chandler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861774929
PECOS PAC ID: 0648419069
Enrollment ID: I20130615000161
Provider NameJodi Lynn Swihart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306139084
PECOS PAC ID: 2062632573
Enrollment ID: I20141006001152
Provider NameTonia N Studer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457733867
PECOS PAC ID: 1850603812
Enrollment ID: I20150702002604
Provider NameAmanda Lilly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003290206
PECOS PAC ID: 0941514053
Enrollment ID: I20150803002727
Provider NameLeslie Kushner
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1033478045
PECOS PAC ID: 3476868977
Enrollment ID: I20150812008476
Provider NameTabatha Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568832343
PECOS PAC ID: 7315256856
Enrollment ID: I20151022002179
Provider NameCarlos Molina Arriola
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437578804
PECOS PAC ID: 3274825351
Enrollment ID: I20180918003626
Provider NameNathan Allan Braden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396231247
PECOS PAC ID: 4082958277
Enrollment ID: I20181128002317
Provider NameLatonia Feagin
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1285118422
PECOS PAC ID: 0143551234
Enrollment ID: I20191003001085
Provider NameAmber Galownia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629629753
PECOS PAC ID: 9436123627
Enrollment ID: I20191122001926
Provider NameKendra Leigh Connell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356997894
PECOS PAC ID: 9032544200
Enrollment ID: I20200115003379
Provider NameCindy Renee Viers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922624774
PECOS PAC ID: 5395160279
Enrollment ID: I20200810001674
Provider NameSarah Timko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023695327
PECOS PAC ID: 8820406499
Enrollment ID: I20210420001331
Provider NameMelissa Ann Gushard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225539463
PECOS PAC ID: 8527457472
Enrollment ID: I20211115000877
Provider NameMyles Spar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013028307
PECOS PAC ID: 3072597327
Enrollment ID: I20230203001761
Provider NameChristopher Todd Yohn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063945533
PECOS PAC ID: 2668894650
Enrollment ID: I20230901002609
Provider NameBrianna Cassidy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003594623
PECOS PAC ID: 9537514963
Enrollment ID: I20231004003695
Provider NameHeather L. John
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447021076
PECOS PAC ID: 6901334374
Enrollment ID: I20250113002493

Reviews and Comments


Clinic/Center in Mansfield, OH

Ohio Eye Associates, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 466 S Trimble Rd, Mansfield, OH 44906
Phone: 419-756-8000    Fax: 419-756-7100
Richland Internists, Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 2293 Village Mall Drive, Mansfield, OH 44906
Phone: 419-747-3400    Fax: 419-747-3408
William Scott Ballinger,m.d.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 770 Balgreen Dr, Suite 203, Mansfield, OH 44906
Phone: 419-756-6366    Fax: 419-756-5549
Mansfield Family Practice
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Medicare: Not Enrolled in Medicare
Practice Location: 248 Blymyer Ave, Mansfield, OH 44903
Phone: 419-524-2212    Fax: 419-524-9040
Melissa Becker, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 661 Park Ave E, Mansfield, OH 44905
Phone: 419-522-0948    Fax: 419-526-7347
Patrick Furness, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 661 Park Ave E, Mansfield, OH 44905
Phone: 419-522-0948    Fax: 419-526-7347
Davis Family Practice
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 390 Marion Ave, Mansfield, OH 44903
Phone: 419-756-7500    Fax: 419-525-0001

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.