Nancy A Henceroth-gatto, DO | |
4191 Kelnor Dr Ste 300, Grove City, OH 43123-3990 | |
(614) 875-6349 | |
(614) 875-3633 |
Full Name | Nancy A Henceroth-gatto |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 4191 Kelnor Dr Ste 300, Grove City, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164497335 | NPI | - | NPPES |
0466311 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OH34003011 (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Mailing Address | Practice Location Address |
---|---|
Nancy A Henceroth-gatto, DO 5450 Frantz Rd, Ste 250, Dublin, OH 43016-4134 Ph: () - | Nancy A Henceroth-gatto, DO 4191 Kelnor Dr Ste 300, Grove City, OH 43123-3990 Ph: (614) 875-6349 |
Dr. Krisanna L Deppen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2030 Stringtown Rd, Grove City, OH 43123 Phone: 614-566-0987 Fax: 614-566-0978 | |
Mr. William J Burke, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2030 Stringtown Rd, Grove City, OH 43123 Phone: 614-544-0101 Fax: 614-544-0102 | |
Alece Leeshanna Andrew, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 Stringtown Rd Ste 240, Grove City, OH 43123 Phone: 614-788-0130 | |
Evelyn Ann Eakin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Stringtown Rd Ste 240, Grove City, OH 43123 Phone: 614-788-0130 Fax: 614-788-0538 | |
Douglas C Wallace, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4072 Gantz Rd, Grove City, OH 43123 Phone: 614-875-0011 Fax: 614-539-7287 | |
Craig William Fortman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2030 Stringtown Rd Ste 210, Grove City, OH 43123 Phone: 614-544-0050 | |
David Hixson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 Stringtown Rd Ste 240, Grove City, OH 43123 Phone: 614-788-0130 |