Mario C Villegas, MD | |
601 State Route 664 N, Logan, OH 43138-8541 | |
(710) 380-8000 | |
Not Available |
Full Name | Mario C Villegas |
---|---|
Gender | Male |
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 |
---|---|---|---|
1528018710 | NPI | - | NPPES |
0575426 | Medicaid | OH | |
000000342030 | Other | BCBS MADISON | |
000000315936 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35050563V (Ohio) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Entity Name | Concord Medical Group Of Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191118000999 |
Mailing Address | Practice Location Address |
---|---|
Mario C Villegas, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Mario C Villegas, MD 601 State Route 664 N, Logan, OH 43138-8541 Ph: (710) 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 | |
Marie C Walters, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 Fax: 614-293-2809 | |
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 | |
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 |