Mrs Esther Grace Pablo Kanayjorn, MD | |
1092 Jefferson St, Greenfield, OH 45123-8319 | |
(937) 981-1121 | |
(937) 981-5660 |
Full Name | Mrs Esther Grace Pablo Kanayjorn |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1092 Jefferson St, Greenfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043202187 | NPI | - | NPPES |
363844 | Other | OH | RHC MEDICARE FACILITY # |
2122096001 | Other | OH | CIGNA |
2355053 | Other | OH | RHC MEDICAID FACILITY # |
7724279 | Other | OH | AETNA |
000000184923 | Other | OH | ANTHEM BC/BS |
0401451 | Other | OH | UNITED HEALTH CARE |
2214839 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35077853-K (Ohio) | Primary |
Entity Name | Commonwealth Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
Mailing Address | Practice Location Address |
---|---|
Mrs Esther Grace Pablo Kanayjorn, MD 104 Erin Court, Hillsboro, OH 45133-0070 Ph: (937) 393-5781 | Mrs Esther Grace Pablo Kanayjorn, MD 1092 Jefferson St, Greenfield, OH 45123-8319 Ph: (937) 981-1121 |
Richard S Harris, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 550 Mirabeau St, Greenfield, OH 45123 Phone: 937-981-2116 Fax: 937-981-9238 | |
Jornel Rivera, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 550 Mirabeau St, Greenfield, OH 45123 Phone: 937-981-2116 Fax: 937-981-9238 |