Jennifer Mitzman, | |
376 W 10th Ave, 780 Prior Hall, Columbus, OH 43210-1280 | |
(614) 293-8305 | |
Not Available |
Full Name | Jennifer Mitzman |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 376 W 10th Ave, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124260807 | NPI | - | NPPES |
0106379 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 35123808 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 35123808 (Ohio) | Primary |
Entity Name | Osu Emergency Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699705681 PECOS PAC ID: 2668386673 Enrollment ID: O20031114000120 |
Entity Name | Pediatric Academic Association, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Entity Name | Osu Observation Medicine, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407095052 PECOS PAC ID: 3375692270 Enrollment ID: O20090526000354 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Mitzman, 376 W 10th Ave, 780 Prior Hall, Columbus, OH 43210-1280 Ph: () - | Jennifer Mitzman, 376 W 10th Ave, 780 Prior Hall, Columbus, OH 43210-1280 Ph: (614) 293-8305 |
Lauren Talanda-fath Southerland, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Emergency Department, Columbus, OH 43210 Phone: 614-293-8305 | |
Kushal Nandam, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 376 W 10th Ave, 760 Prior Hall, Columbus, OH 43210 Phone: 614-293-3551 | |
Alexander J. Stuber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2323 W 5th Ave, Columbus, OH 43204 Phone: 330-631-5829 | |
Andrew Gathof, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8305 | |
Dr. Maura Marie Manning, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 480 S 3rd St, Columbus, OH 43215 Phone: 614-512-9665 | |
Maulik Trivedi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 W Broad St Ste 1330, Columbus, OH 43215 Phone: 908-663-2929 | |
Dr. Heather Michelle Childers, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5100 W Broad St, Columbus, OH 43228 Phone: 614-544-1000 |