Dr Jesse Michael Ewald, MD | |
1320 W. Main St, Newark, OH 43055 | |
(220) 564-1791 | |
(220) 564-1790 |
Full Name | Dr Jesse Michael Ewald |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 13 Years |
Location | 1320 W. Main St, Newark, 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 |
---|---|---|---|
1104196591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 35.124055 (Ohio) | Primary |
207R00000X | Internal Medicine | 35.124055 (Ohio) | Secondary |
208M00000X | Hospitalist | 35124055 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Licking Memorial Hospital | Newark, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Licking Memorial Professional Corporation | 6204740731 | 202 |
Entity Name | Licking Memorial Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse Michael Ewald, MD 1320 W. Main St, Newark, OH 43055 Ph: (220) 564-1791 | Dr Jesse Michael Ewald, MD 1320 W. Main St, Newark, OH 43055 Ph: (220) 564-1791 |
Kara Kaplan, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-1791 Fax: 220-564-1790 | |
Dr. Maruf A Ali, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-1791 Fax: 220-564-1790 | |
Dr. Ibiene Adonye Osuobeni, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-1791 | |
Benjamin A Pasley, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 120 Mcmillen Dr, Newark, OH 43055 Phone: 220-564-4805 Fax: 220-564-4811 | |
Gabrielle Alicia Farkas, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4408 Fax: 220-564-4413 | |
Dr. Khanh Dang, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-1792 Fax: 220-564-4413 |