Marcietta R Wilson, DO | |
3600 Kolbe Rd Ste 210, Lorain, OH 44053-1652 | |
(440) 960-3912 | |
(440) 960-3913 |
Full Name | Marcietta R Wilson |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 24 Years |
Location | 3600 Kolbe Rd Ste 210, Lorain, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801860572 | NPI | - | NPPES |
007282000 | Medicaid | FL | |
2493869 | Medicaid | OH | |
0236248 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | OS11852 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Regional Medical Center | Lorain, OH | Hospital |
Mercy Allen Hospital | Oberlin, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Lorain Specialty Care Llc | 4688070055 | 115 |
Entity Name | Lorain County Health & Dentistry |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215194527 PECOS PAC ID: 9234047853 Enrollment ID: O20031105000774 |
Entity Name | Mercy Health Physicians Lorain Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023347192 PECOS PAC ID: 1355474172 Enrollment ID: O20100730000651 |
Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126381 PECOS PAC ID: 4688070055 Enrollment ID: O20210909003432 |
Mailing Address | Practice Location Address |
---|---|
Marcietta R Wilson, DO 3600 Kolbe Rd Ste 210, Lorain, OH 44053-1652 Ph: (440) 960-3912 | Marcietta R Wilson, DO 3600 Kolbe Rd Ste 210, Lorain, OH 44053-1652 Ph: (440) 960-3912 |
Alexander H Boye-doe, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5040 Oberlin Ave, Lorain, OH 44053 Phone: 440-960-0644 Fax: 440-960-0336 | |
Peter E Harroff, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3700 Kolbe Rd, L & D Floor, Lorain, OH 44053 Phone: 440-960-4092 Fax: 440-960-0264 | |
Tarek Dbouk, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3600 Kolbe Rd, Ste 210, Lorain, OH 44053 Phone: 440-960-3912 Fax: 440-960-3913 | |
Andrea Rolando Frye Moore, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-988-1009 Fax: 440-988-1227 | |
Dr. Patricia Ann Yost, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-960-4000 |