Charles R Potter, MD | |
770 W High St, Suite 460, Lima, OH 45801-3990 | |
(419) 226-4300 | |
(419) 226-4305 |
Full Name | Charles R Potter |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 50 Years |
Location | 770 W High St, Lima, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396839890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | R6288 (Missouri) | Secondary |
207Y00000X | Otolaryngology | 35.127414 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Lima Specialty Care Llc | 7012332364 | 200 |
Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
Mailing Address | Practice Location Address |
---|---|
Charles R Potter, MD Po Box 636930, Cincinnati, OH 45263-6930 Ph: (513) 981-5123 | Charles R Potter, MD 770 W High St, Suite 460, Lima, OH 45801-3990 Ph: (419) 226-4300 |
Susan J. Rossi, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 770 W High St, Suite 460, Lima, OH 45801 Phone: 419-226-4300 Fax: 419-226-4305 | |
Dr. Sophia A. Omoro, MD, PHD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Bellefontaine Ave Ste 125, Lima, OH 45804 Phone: 419-998-8244 Fax: 419-998-8243 | |
Dr. Fadi Abbass, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1220 E Elm St Ste 106, Lima, OH 45804 Phone: 419-998-8244 Fax: 419-998-8243 |