Dr Patsy Buccino, DO | |
24 S State St, Girard, OH 44420-2907 | |
(330) 545-3467 | |
(330) 545-5041 |
Full Name | Dr Patsy Buccino |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 24 S State St, Girard, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982673232 | NPI | - | NPPES |
341712257 | Other | OH | FEDERAL ID |
0776941 | Medicaid | OH | |
341712257-00 | Other | OH | BWC GROUP ID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34-00-4593-B (Ohio) | Primary |
Entity Name | Patsy Buccino D O Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902005291 PECOS PAC ID: 6608961453 Enrollment ID: O20071009000333 |
Entity Name | Triad Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
Mailing Address | Practice Location Address |
---|---|
Dr Patsy Buccino, DO 24 South State Street, Girard, OH 44420-2907 Ph: (330) 545-3467 | Dr Patsy Buccino, DO 24 S State St, Girard, OH 44420-2907 Ph: (330) 545-3467 |
John Phillip Delliquadri, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 E Liberty St, Girard, OH 44420 Phone: 330-545-8643 Fax: 330-545-6557 | |
Dr. James Joseph Enyeart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 E Liberty St, Girard, OH 44420 Phone: 330-545-8814 Fax: 330-545-5008 | |
David Robert Delliquadri, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 116 E Liberty St, Girard, OH 44420 Phone: 330-545-8643 Fax: 330-545-6557 |