Dr Jalaj Chandna, MD | |
401 Matthew St, Marietta, OH 45750-1635 | |
(740) 376-1939 | |
(740) 374-1693 |
Full Name | Dr Jalaj Chandna |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 401 Matthew St, Marietta, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710963947 | NPI | - | NPPES |
0079521000 | Medicaid | WV | |
1040766 | Other | WV | WV DWC BRICKSTREET |
0289948 | Medicaid | OH | |
001716464 | Other | WV BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20670 (West Virginia) | Secondary |
207P00000X | Emergency Medicine | 35.070350 (Ohio) | Primary |
Entity Name | Emergency Professional Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Entity Name | Mid-ohio Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881164010 PECOS PAC ID: 7810233517 Enrollment ID: O20190117001823 |
Mailing Address | Practice Location Address |
---|---|
Dr Jalaj Chandna, MD 5700 Darrow Rd, Suite 106, Hudson, OH 44236-5021 Ph: (330) 656-5911 | Dr Jalaj Chandna, MD 401 Matthew St, Marietta, OH 45750-1635 Ph: (740) 376-1939 |
Janelle A Thomas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Emergency Dept, Marietta, OH 45750 Phone: 740-374-1400 | |
Julian Adam John Jakubowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Emergency Department, Marietta, OH 45750 Phone: 740-376-1939 Fax: 740-374-1693 | |
Geoffrey Sirockman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 Matthew St, Emergency Department, Marietta, OH 45750 Phone: 740-568-5669 Fax: 740-568-5279 | |
Terry L Carr, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Emergency Department, Marietta, OH 45750 Phone: 740-376-1939 | |
Dr. Cady Noelle Kennedy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew Street, Emergency Department, Marietta, OH 45750 Phone: 740-568-5669 | |
William James Balshuweit, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-374-1400 | |
William Gregory Timmer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew Street, Emergency Department, Marietta, OH 45750 Phone: 740-568-5669 |