Miss Elizabeth Frances Marie Olds, | |
282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | |
(419) 668-9409 | |
(419) 668-7099 |
Full Name | Miss Elizabeth Frances Marie Olds |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 282 Benedict Ave Ste B, Norwalk, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154784627 | NPI | - | NPPES |
0357749 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.136872 (Ohio) | Primary |
Entity Name | Fisher-titus Medical Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467636399 PECOS PAC ID: 6507940566 Enrollment ID: O20080228000695 |
Mailing Address | Practice Location Address |
---|---|
Miss Elizabeth Frances Marie Olds, 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 Ph: (419) 668-9409 | Miss Elizabeth Frances Marie Olds, 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 Ph: (419) 668-9409 |
Mary W Saleh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Benedict Ave Ste B, Norwalk, OH 44857 Phone: 419-663-8061 Fax: 419-668-2446 | |
Abigail Christine Chudzinski, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Benedict Ave, Ste B, Norwalk, OH 44857 Phone: 419-668-9409 Fax: 419-668-7099 | |
Aml Sadik Kelada, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 282 Benedict Ave Ste B, Norwalk, OH 44857 Phone: 419-668-9409 Fax: 419-668-7099 | |
Dr. Melanie Elizabeth Jungblut, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Benedict Ave, Suite B, Norwalk, OH 44857 Phone: 419-668-9409 Fax: 419-668-7099 | |
Dr. Karen K La Salle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 282 Benedict Ave Ste B, Norwalk, OH 44857 Phone: 419-668-9409 | |
Dr. Glenn John Trippe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 282 Benedict Ave, Suite B, Norwalk, OH 44857 Phone: 419-668-9409 Fax: 419-668-7099 |