Dr Sophia Grecos Mccullough, MD | |
1089 Pray Blvd, Waterville, OH 43566-8712 | |
(567) 952-2100 | |
(567) 952-2010 |
Full Name | Dr Sophia Grecos Mccullough |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1089 Pray Blvd, Waterville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790788966 | NPI | - | NPPES |
0192437 | Medicaid | OH | |
029078500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35083028 (Ohio) | Primary |
Entity Name | University Of Toledo Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
Mailing Address | Practice Location Address |
---|---|
Dr Sophia Grecos Mccullough, MD 3355 Glendale Ave., 3rd Floor, Toledo, OH 43614-4361 Ph: (567) 952-2100 | Dr Sophia Grecos Mccullough, MD 1089 Pray Blvd, Waterville, OH 43566-8712 Ph: (567) 952-2100 |
Dr. William A Suarez, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1089 Pray Blvd, Waterville, OH 43566 Phone: 567-952-2100 Fax: 567-952-2101 | |
Dr. Cathi Ann Badik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1089 Pray Blvd, Waterville, OH 43566 Phone: 567-952-2100 Fax: 567-952-2101 | |
Rosemary L. D'agostino, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1089 Pray Blvd, Waterville, OH 43566 Phone: 567-952-2100 Fax: 567-952-2101 | |
Dr. Valarie N Stricklen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1089 Pray Blvd, Waterville, OH 43566 Phone: 567-952-2100 Fax: 567-952-2101 |