Marie C Walters, MD | |
601 State Route 664 N, Logan, OH 43138-8541 | |
(740) 380-8000 | |
(614) 293-2809 |
Full Name | Marie C Walters |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 601 State Route 664 N, Logan, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043891120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 390200000X (Indiana) | Secondary |
207P00000X | Emergency Medicine | 35.151662 (Ohio) | Primary |
Entity Name | Osup Community Outreach Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
Mailing Address | Practice Location Address |
---|---|
Marie C Walters, MD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (740) 380-8000 | Marie C Walters, MD 601 State Route 664 N, Logan, OH 43138-8541 Ph: (740) 380-8000 |
George T Ralph, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 St Rt 664 Box 966, Logan, OH 43138 Phone: 740-380-8000 Fax: 740-380-2932 | |
Lindsay L. Boik-price, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Michael S. Abrahams, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Mario C Villegas, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 710-380-8000 | |
Neal E Bucher, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Martin Phillip Kasofsky, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 |