Kurt James Palazzo, MD | |
20 West Locust Street, Newark, OH 43055 | |
(220) 564-4835 | |
(220) 564-4836 |
Full Name | Kurt James Palazzo |
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Gender | Male |
Speciality | Family Medicine |
Location | 20 West Locust Street, Newark, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649298258 | NPI | - | NPPES |
1804550000 | Medicaid | WV | |
2224168 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35067200 (Ohio) | Primary |
Entity Name | Somc Medical Care Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Entity Name | Licking Memorial Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
Mailing Address | Practice Location Address |
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Kurt James Palazzo, MD 20 West Locust Street, Newark, OH 43055 Ph: (220) 564-4835 | Kurt James Palazzo, MD 20 West Locust Street, Newark, OH 43055 Ph: (220) 564-4835 |
Dr. Carl Waggoner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1272 W Main St, Bldg. 5, Newark, OH 43055 Phone: 740-348-1788 Fax: 740-348-1789 | |
Dr. Talya Greathouse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 W Main St, Suite 200, Newark, OH 43055 Phone: 220-564-1706 Fax: 220-564-1707 | |
Dr. Pattye Whisman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Mcmillen Dr, Newark, OH 43055 Phone: 220-564-4827 Fax: 220-564-1894 | |
Dr. Matthew R Harris, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1272 W Main St Ste 503, Newark, OH 43055 Phone: 220-564-1778 Fax: 220-564-1779 | |
Katrina M Timson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 399 E Main St, Newark, OH 43055 Phone: 220-564-1846 Fax: 220-564-1847 | |
Donald J Fairbanks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Goosepond Rd, Newark, OH 43055 Phone: 220-564-7960 Fax: 220-564-7961 | |
Dr. Michael Eugene Campolo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1930 Tamarack Rd, Newark, OH 43055 Phone: 740-522-7600 Fax: 740-522-6399 |