| Montrie Chaksupa, MD | |
|
90 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (740) 446-5381 | |
| (740) 446-5082 |
| Full Name | Montrie Chaksupa |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 90 Jackson Pike, Gallipolis, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316999386 | NPI | - | NPPES |
| 0235203 | Other | OH | MOLINA MEDICAID |
| 0092684000 | Medicaid | WV | |
| 310917085090 | Other | OH | CARESOURCE MEDICAID |
| 000000007452 | Other | ANTHEM BCBS | |
| 000000181427 | Other | OH | UNISON MEDICAID |
| 001714040 | Other | MOUNTAIN STATE BCBS | |
| 160017398 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35-10-0192 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Montrie Chaksupa, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5387 | Montrie Chaksupa, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5381 |
Lyndon B. Gaines, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5381 Fax: 740-446-5082 | |
Adam Ritchie, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5381 Fax: 740-446-5082 | |
Laurel A. Kirkhart, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5381 Fax: 740-446-5082 | |
Jamal A. Haddad, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5462 Fax: 740-446-5082 | |
Amy N. Hendrix, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5082 | |
Aimee Renee Young, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5381 Fax: 740-446-5082 |