Brenda M Hartley, MD | |
5700 Monroe St Unit 301, Sylvania, OH 43560-2737 | |
(419) 291-2121 | |
(419) 479-6017 |
Full Name | Brenda M Hartley |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 37 Years |
Location | 5700 Monroe St Unit 301, Sylvania, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760475727 | NPI | - | NPPES |
000000141209 | Other | OH | ANTHEM |
3505802301 | Other | MI | BCBS MI |
370012698 | Other | OH | RRMC |
10717 | Other | OH | HPM |
0997711 | Other | OH | BCMH |
12-01238 | Other | OH | UHC |
01872 | Other | OH | PHC |
0997711 | Medicaid | OH | |
12-03667 | Other | MI | UHC |
4530886 | Other | MI | AETNA |
0637659 | Other | OH | AETNA |
000000217929 | Other | MI | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35064035 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Promedica Toledo Hospital | Toledo, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Promedica Central Physicians | 2365348190 | 827 |
Entity Name | Promedica Central Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
Mailing Address | Practice Location Address |
---|---|
Brenda M Hartley, MD 5700 Monroe St Unit 301, Sylvania, OH 43560-2737 Ph: (419) 291-2121 | Brenda M Hartley, MD 5700 Monroe St Unit 301, Sylvania, OH 43560-2737 Ph: (419) 291-2121 |
Dr. Mohammad Ghali, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5700 Monroe Street, Wuite 301, Sylvania, OH 43560 Phone: 419-291-2121 Fax: 419-479-6017 | |
Dr. Rama Sood, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5300 Harroun Rd, Sylvania, OH 43560 Phone: 419-882-2962 Fax: 419-885-2874 | |
Dr. Lara Jamal-ghandour, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5700 Monroe St Unit 301, Sylvania, OH 43560 Phone: 419-291-2121 |