Dr James R Pacholka, MD | |
1711 27th St Ste 402, Portsmouth, OH 45662-2669 | |
(740) 356-3562 | |
(740) 355-6938 |
Full Name | Dr James R Pacholka |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 38 Years |
Location | 1711 27th St Ste 402, Portsmouth, 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 |
---|---|---|---|
1255395646 | NPI | - | NPPES |
7100414720 | Medicaid | KY | |
01344687 | Medicaid | NY | |
0175848 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 174644 (New York) | Secondary |
208600000X | Surgery | 35.127947 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Ohio Medical Center | Portsmouth, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
Entity Name | Somc Medical Care Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Mailing Address | Practice Location Address |
---|---|
Dr James R Pacholka, MD 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-6942 | Dr James R Pacholka, MD 1711 27th St Ste 402, Portsmouth, OH 45662-2669 Ph: (740) 356-3562 |
Dr. Joseph J Lach, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1711 27th Street, Braunlin Bldg, Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 Fax: 740-354-3254 | |
Dr. Andrew James Dittenhofer, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 402, Portsmouth, OH 45662 Phone: 740-356-3562 Fax: 740-355-6938 | |
Mrs. Jennifer Lynn Thayer, FNP-BC Surgery Medicare: Not Enrolled in Medicare Practice Location: 1711 27th St Braunlin Bldg, Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 | |
Dr. Vincent Michael Scarpinato, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 402, Portsmouth, OH 45662 Phone: 740-356-3562 Fax: 740-355-6938 | |
Thomas L Khoury, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 Fax: 740-354-3254 | |
Marion Richard Hochstetler Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 206, Portsmouth, OH 45662 Phone: 740-356-8772 Fax: 740-356-1264 |