Dr Annette Raquel Nathan, MD | |
100 Medical Center Way, Springfield Regional Medical Center, Springfield, OH 45505 | |
(937) 523-1401 | |
(937) 523-1950 |
Full Name | Dr Annette Raquel Nathan |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 100 Medical Center Way, Springfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164486825 | NPI | - | NPPES |
000000017028 | Other | OH | ANTHEM |
0924914 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35.064717 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 3564717 (Ohio) | Primary |
Entity Name | Miami Valley Emergency Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821189085 PECOS PAC ID: 9537064183 Enrollment ID: O20031205000322 |
Entity Name | Emergency Professional Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
---|---|
Dr Annette Raquel Nathan, MD 2699 Kilkenny Ct, Springfield, OH 45503-1164 Ph: (937) 390-0971 | Dr Annette Raquel Nathan, MD 100 Medical Center Way, Springfield Regional Medical Center, Springfield, OH 45505 Ph: (937) 523-1401 |
Wade G Smith, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1343 N Fountain Blvd, Springfield, OH 45504 Phone: 937-390-5000 Fax: 937-390-5526 | |
Chidoziri C. Nwokoro, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-1000 | |
James Bianchi Iii, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 E High St, Springfield, OH 45505 Phone: 937-325-0531 | |
Kathleen L Schomer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1343 N Fountain Blvd, Springfield, OH 45504 Phone: 937-390-5000 Fax: 937-390-5526 | |
Ashli Burns, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Department Of Emergency Medicine, Springfield, OH 45504 Phone: 614-293-3551 | |
Dr. Bethany Paczkowski, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-5062 |