Dr Mitchell Gordon Greenbaum, DO | |
2702 Navarre Ave, Suite 305, Oregon, OH 43616-3223 | |
(419) 691-8000 | |
(419) 693-0111 |
Full Name | Dr Mitchell Gordon Greenbaum |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 33 Years |
Location | 2702 Navarre Ave, Oregon, 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 |
---|---|---|---|
1740247568 | NPI | - | NPPES |
2284675 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 34007744G (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
Mercy St Vincent Medical Center | Toledo, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians North Specialty Care Llc | 1951707884 | 305 |
Mercy Medical Partners Northern Region Specialty Care Llc | 9739585480 | 83 |
Entity Name | Mercy Health Physicians-north Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
Entity Name | Mercy Medical Partners Northern Region Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669756532 PECOS PAC ID: 0244407823 Enrollment ID: O20120123000509 |
Entity Name | Mercy Health Physicians North Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
Entity Name | Mercy Medical Partners Northern Region Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
Mailing Address | Practice Location Address |
---|---|
Dr Mitchell Gordon Greenbaum, DO 2702 Navarre Ave, Suite 305, Oregon, OH 43616-3223 Ph: (419) 691-8000 | Dr Mitchell Gordon Greenbaum, DO 2702 Navarre Ave, Suite 305, Oregon, OH 43616-3223 Ph: (419) 691-8000 |
Dr. John Dominic Credico, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2751 Bay Park Dr, Suite 304, Oregon, OH 43616 Phone: 419-690-7611 Fax: 419-691-1511 | |
Dr. Janelle Marie Noel, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2702 Navarre Ave Ste 305, Oregon, OH 43616 Phone: 419-691-8000 Fax: 419-693-0111 | |
Oswaldo E. Vilela, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2737 Navarre Ave, Suite 203, Oregon, OH 43616 Phone: 419-697-4281 Fax: 419-697-4283 | |
Dr. Vijit Nopkhun, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1050 Isaac Streets Dr, Ste 106, Oregon, OH 43616 Phone: 419-691-4734 Fax: 419-691-0294 | |
Dr. Marie Morelli Greenbaum, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2702 Navarre Ave, Suite 305, Oregon, OH 43616 Phone: 419-691-8000 Fax: 419-693-0111 | |
Dr. Peter Carl Johnson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2737 Navarre Ave Ste 202, Oregon, OH 43616 Phone: 419-691-5222 Fax: 419-693-6583 |