Dr Archie Scott Wilkinson, MD | |
2736 Lake Ave, Ashtabula, OH 44004-4960 | |
(440) 992-7554 | |
(440) 992-3962 |
Full Name | Dr Archie Scott Wilkinson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2736 Lake Ave, Ashtabula, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548239718 | NPI | - | NPPES |
0556821 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35.049861 (Ohio) | Primary |
Entity Name | Ashtabula County Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897 |
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 Archie Scott Wilkinson, MD 2736 Lake Ave, Ashtabula, OH 44004-4960 Ph: (440) 992-7554 | Dr Archie Scott Wilkinson, MD 2736 Lake Ave, Ashtabula, OH 44004-4960 Ph: (440) 992-7554 |
John Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2422 Lake Ave, Ashtabula, OH 44004 Phone: 440-992-4422 | |
Gregory Charles Brant, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4716 N Ridge Rd W, Ashtabula, OH 44004 Phone: 440-969-1112 Fax: 440-969-9612 | |
Dr. Adeola Olufisayo Fakolade, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2259 Lake Ave, Ashtabula, OH 44004 Phone: 440-994-7654 | |
Sandra L Cook, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 517 W Prospect Rd, Suite C, Ashtabula, OH 44004 Phone: 440-998-3385 Fax: 440-992-5949 | |
Dr. Susan Marie Ratay, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2131 Lake Ave, Suite 4, Ashtabula, OH 44004 Phone: 440-964-3733 Fax: 440-964-7069 | |
Dr. James Lambros, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 611 Lake Ave, Ashtabula, OH 44004 Phone: 440-964-0616 Fax: 440-964-3703 |