| Dr Brad Potts, PHD | |
|
1001 Bellefontaine Ave, Lima, OH 45804-2800 | |
| (419) 998-4575 | |
| (419) 998-4586 |
| Full Name | Dr Brad Potts |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1001 Bellefontaine Ave, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598170102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 5623 (Ohio) | Primary |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brad Potts, PHD 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 998-4575 | Dr Brad Potts, PHD 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 998-4575 |
Melissa Fallis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1135 N West St, Lima, OH 45801 Phone: 419-996-3438 | |
Dr. Jeffrey Cigrang, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 770 W High St Ste 300, Lima, OH 45801 Phone: 419-996-4008 Fax: 419-996-4007 | |
Dr. Michael D. Griffith, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3000 Elida Rd, Ste 2, Lima, OH 45805 Phone: 419-225-5238 Fax: 419-222-1597 | |
Sohrab Dadfar, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 770 W High St, Suit 300, Lima, OH 45801 Phone: 419-996-5033 Fax: 419-996-5266 | |
Dr. Loretta J Morris Barr, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1037 W Market St, Lima, OH 45805 Phone: 740-501-1222 | |
Dr. Michael Douglas Schafer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3745 Shawnee Rd, Suite 105, Lima, OH 45806 Phone: 419-999-2024 Fax: 419-999-2024 | |
Dr. Jerry Lee Zimmerman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Market St, Lima, OH 45805 Phone: 419-227-5515 Fax: 419-227-8827 |