Gerald Melville Penn, MD, PHD | |
650 Shawan Falls Dr, Dublin, OH 43017-2100 | |
(614) 764-1711 | |
(614) 889-2652 |
Full Name | Gerald Melville Penn |
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Gender | Male |
Speciality | Pathology - Dermatopathology |
Location | 650 Shawan Falls 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 |
---|---|---|---|
1073598132 | NPI | - | NPPES |
1351 | Other | OH | RR MEDICARE GRP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | 35027499 (Ohio) | Primary |
Entity Name | Affiliated Dermatology & Cosmetic Surgery Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932184090 PECOS PAC ID: 7012993777 Enrollment ID: O20040624001734 |
Mailing Address | Practice Location Address |
---|---|
Gerald Melville Penn, MD, PHD 650 Shawan Falls Dr, Dublin, OH 43017-2100 Ph: (614) 764-1711 | Gerald Melville Penn, MD, PHD 650 Shawan Falls Dr, Dublin, OH 43017-2100 Ph: (614) 764-1711 |
Michael P Conroy, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5775 Perimeter Dr Ste 200, Dublin, OH 43017 Phone: 614-845-0418 Fax: 614-389-3841 | |
Patrick Fardal, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 365 Stonewall Ct, Dublin, OH 43017 Phone: 614-889-0333 | |
Martin L Kelsten, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 7500 Hospital Dr, Dublin Methodist Hospital Pathology Dept, Dublin, OH 43016 Phone: 614-544-8356 Fax: 614-544-8091 |