Dr Jeremy James Mashburn, DO | |
348 Main St, Greenville, PA 16125-2608 | |
(724) 588-5250 | |
(724) 588-5253 |
Full Name | Dr Jeremy James Mashburn |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 348 Main St, Greenville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285945311 | NPI | - | NPPES |
34.011238 | Other | OH | OHIO MEDICAL LICENSE |
PENDING | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34.011238 (Ohio) | Secondary |
207Q00000X | Family Medicine | OS022110 (Pennsylvania) | Primary |
Entity Name | Primary Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy James Mashburn, DO 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (724) 588-5250 | Dr Jeremy James Mashburn, DO 348 Main St, Greenville, PA 16125-2608 Ph: (724) 588-5250 |
James L Liszewski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Shenango St, Greenville, PA 16125 Phone: 724-588-4240 Fax: 724-588-1820 | |
Christina Wong, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Shenango St, Greenville, PA 16125 Phone: 724-588-4240 | |
Dr. Briana D. Yee-providence, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Shenango Street, Greenville, PA 16125 Phone: 724-588-4240 Fax: 724-588-1820 | |
Laura B Yohe, CRNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Shenango St, Suite 12, Greenville, PA 16125 Phone: 724-589-0290 Fax: 724-589-0293 | |
Alicia Baker, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Shenango St, Greenville, PA 16125 Phone: 724-588-4240 | |
Dr. George F Reeher, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Shenango St, Greenville, PA 16125 Phone: 724-588-4240 Fax: 724-588-0198 |