Canaan Baer, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5387 | |
(740) 446-5982 |
Full Name | Canaan Baer |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 100 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730488453 | NPI | - | NPPES |
0411222 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35.138690 (Ohio) | Primary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Canaan Baer, MD 90 Jackson Pike, Gallipolis, OH 45631-1562 Ph: (740) 446-5387 | Canaan Baer, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5387 |
Dr. Stephanie Dawn Dewitt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5956 | |
Alice A. Dachowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5956 | |
Susan Kerns, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5573 | |
Matthew William Rosenberg, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5225 Fax: 740-441-8097 | |
Daniel H Whiteley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 493 Country Ln, Gallipolis, OH 45631 Phone: 740-446-7711 | |
Michael R. Canady, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5225 Fax: 740-446-5532 | |
David V. Blevins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5956 |