Mrs Penelope Mashburn, DO | |
27 St. Lawrence Dr., Suite203, Tiffin, OH 44883 | |
(305) 575-9978 | |
(419) 455-8564 |
Full Name | Mrs Penelope Mashburn |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 16 Years |
Location | 27 St. Lawrence Dr., Tiffin, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154650117 | NPI | - | NPPES |
0106134 | Medicaid | OH | |
34011231 | Other | OH | OHIO MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 34.011231 (Ohio) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | P12-00612 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Trumbull Regional Medical Center | Warren, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steward Medical Group Inc | 2860688728 | 1338 |
Entity Name | Steward Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902347438 PECOS PAC ID: 2860688728 Enrollment ID: O20170515002104 |
Mailing Address | Practice Location Address |
---|---|
Mrs Penelope Mashburn, DO 2200 Jefferson Ave, 4th Floor, Toledo, OH 43604-7101 Ph: () - | Mrs Penelope Mashburn, DO 27 St. Lawrence Dr., Suite203, Tiffin, OH 44883 Ph: (305) 575-9978 |
Dr. Robert A Cecchino, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 27 St Lawrence Dr, Suite 203, Tiffin, OH 44883 Phone: 419-455-8560 Fax: 419-455-8564 | |
Ryan J Vela, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 25 Wellington Pl, Tiffin, OH 44883 Phone: 419-559-6602 |