Dr Megan Elizabeth Liberty, DO | |
5680 Venture Dr, Dublin, OH 43017-2190 | |
(614) 355-6000 | |
Not Available |
Full Name | Dr Megan Elizabeth Liberty |
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Gender | Female |
Speciality | Pediatrics - Sports Medicine |
Location | 5680 Venture Dr, Dublin, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376074435 | NPI | - | NPPES |
0452407 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34.014437 (Ohio) | Secondary |
2080S0010X | Pediatrics - Sports Medicine | 34014437 (Ohio) | Primary |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Mailing Address | Practice Location Address |
---|---|
Dr Megan Elizabeth Liberty, DO 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 355-6000 | Dr Megan Elizabeth Liberty, DO 5680 Venture Dr, Dublin, OH 43017-2190 Ph: (614) 355-6000 |
Mary Beth Cass, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6255a Emerald Pkwy, Dublin, OH 43016 Phone: 614-766-3344 Fax: 614-766-3330 | |
Kathryn L Ginocchi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5695 Innovation Drive, Suite 100, Dublin, OH 43016 Phone: 614-932-5050 Fax: 614-932-9372 | |
Karyn Wulf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7450 Hospital Dr Ste 100, Dublin, OH 43016 Phone: 614-355-7000 | |
Michael Henry Joseph, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5060 Bradenton Ave, Suite B, Dublin, OH 43017 Phone: 614-889-6422 Fax: 614-453-8863 | |
Kimberly Kay Blazer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6255a Emerald Pkwy, Dublin, OH 43016 Phone: 614-766-3344 Fax: 614-766-3330 | |
Dr. Kassie Lynn Johnson, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6255 Emerald Pkwy, Dublin, OH 43016 Phone: 614-766-3344 Fax: 614-766-3330 | |
Kristin E. Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5695 Innovative Drive, Suite 100, Dublin, OH 43016 Phone: 614-932-5050 Fax: 614-932-9372 |