Dr Joel L Shanklin, MD | |
825 W Market St Ste 260, Lima, OH 45805-2745 | |
(419) 996-5208 | |
(419) 996-5209 |
Full Name | Dr Joel L Shanklin |
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Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 825 W Market St Ste 260, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851398580 | NPI | - | NPPES |
G48571 | Medicaid | SC | |
300044892A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 35137549 (Ohio) | Primary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 48571 (Georgia) | Secondary |
Entity Name | Renewalmd, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851338131 PECOS PAC ID: 5991609083 Enrollment ID: O20031120000782 |
Mailing Address | Practice Location Address |
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Dr Joel L Shanklin, MD Po Box 636930, Cincinnati, OH 45263-6930 Ph: () - | Dr Joel L Shanklin, MD 825 W Market St Ste 260, Lima, OH 45805-2745 Ph: (419) 996-5208 |
Marcus F Cox, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1005 Bellefontaine Ave, Suite 260, Lima, OH 45804 Phone: 419-998-8250 Fax: 419-998-8251 | |
Dr. Jeremy James Heffner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804 Phone: 419-998-8207 Fax: 419-998-8216 | |
Dr. Philip Scott Gafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Bellefontaine Ave Ste 125, Lima, OH 45804 Phone: 419-998-8207 Fax: 419-998-8216 | |
Jeffrey M Wisser, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 W High St, Suite 360, Lima, OH 45801 Phone: 419-227-7117 Fax: 419-227-2848 | |
Mohammed Junaid Akbani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 W High St Ste 207, Lima, OH 45801 Phone: 419-226-9182 Fax: 419-996-5090 | |
Jason D. Bowersock, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 W High St, Suite 360, Lima, OH 45801 Phone: 419-227-7117 Fax: 419-227-2848 | |
Dr. Christopher Lee Clancy, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1003 Bellefontaine Ave Ste 200, Lima, OH 45804 Phone: 419-227-7702 Fax: 419-227-7991 |