Dr Mary Elizabeth Grist, MD | |
1574 Henthorne Dr, Suite C, Maumee, OH 43537-1397 | |
(419) 794-1407 | |
(419) 794-1171 |
Full Name | Dr Mary Elizabeth Grist |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1574 Henthorne Dr, Maumee, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912175316 | NPI | - | NPPES |
2836319 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.090606 (Ohio) | Primary |
Entity Name | Community And Rural Health Services |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1780683573 PECOS PAC ID: 5395733224 Enrollment ID: O20040430001263 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Elizabeth Grist, MD 1574 Henthorne Dr, Suite C, Maumee, OH 43537-1397 Ph: (419) 794-1407 | Dr Mary Elizabeth Grist, MD 1574 Henthorne Dr, Suite C, Maumee, OH 43537-1397 Ph: (419) 794-1407 |
Chit-guan Goh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537 Phone: 419-891-6221 Fax: 419-893-3394 | |
Marwa El-bohy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6005 Monclova Rd Ste 230, Maumee, OH 43537 Phone: 419-893-7211 Fax: 419-893-8882 | |
Fadia M Abaza, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1661 Holland Rd, Ste 100, Maumee, OH 43537 Phone: 419-891-6262 Fax: 419-891-6263 | |
Shari Sontchi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537 Phone: 419-891-6221 Fax: 419-893-3394 | |
Rebecca Clark, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537 Phone: 419-891-6221 Fax: 419-893-3394 | |
Dr. Kathryn Rachel Davis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5757 Monclova Rd Ste 10, Maumee, OH 43537 Phone: 419-887-0803 Fax: 419-887-0817 | |
Antoinette L Medaglia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537 Phone: 419-891-6221 Fax: 419-893-3394 |