Patricia J Manzo-craddock, DDS is a
Dentist based in Newbury, Ohio. Patricia J Manzo-craddock is licensed to practice in Ohio (license number 18595) and her current practice location is
10816 Kinsman Rd., Newbury, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 564-5387.
NPI number for Patricia J Manzo-craddock is 1861605875 and her current mailing address is 10816 Kinsman Rd., P.o. Box 342, Newbury, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861605875.
Healthcare Provider's Profile
| Full Name | Patricia J Manzo-craddock |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 10816 Kinsman Rd., Newbury, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861605875
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Patricia J Manzo-craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861605875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 18595 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patricia J Manzo-craddock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Patricia J Manzo-craddock, DDS
10816 Kinsman Rd., P.o. Box 342,
Newbury, OH 44065
Ph: (440) 564-5387 | Patricia J Manzo-craddock, DDS
10816 Kinsman Rd.,
Newbury, OH 44065
Ph: (440) 564-5387 |
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