Jessie Entwistle, | |
1805 27th St, Portsmouth, OH 45662-2640 | |
(740) 356-5000 | |
(740) 356-6387 |
Full Name | Jessie Entwistle |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1805 27th St, Portsmouth, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629487665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34.012445 (Ohio) | Primary |
207P00000X | Emergency Medicine | 2020023514 (Missouri) | Secondary |
Entity Name | Epmg Of Ohio Inc P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841232196 PECOS PAC ID: 1052223799 Enrollment ID: O20031103000158 |
Mailing Address | Practice Location Address |
---|---|
Jessie Entwistle, 1735 27th St, Waller Bldg. Suite B 06, Portsmouth, OH 45662-2677 Ph: (740) 356-6800 | Jessie Entwistle, 1805 27th St, Portsmouth, OH 45662-2640 Ph: (740) 356-5000 |
Dr. Matthew Ray Harcha, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Dr. Meghan Kelly Mccormick, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Lauren B Wright, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1805 27th Street, Somc Emergency Department, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Brandon Larrington, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Amanda Paden, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 Fax: 740-356-6387 | |
Stephen M Lyon, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Derek Harmon, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1735 27th St, Waller Building, Suite B06, Portsmouth, OH 45662 Phone: 740-356-8051 Fax: 740-353-7900 |