Pon Ti Cruise, | |
55 Hospital Dr, Athens, OH 45701-2302 | |
(740) 593-5991 | |
Not Available |
Full Name | Pon Ti Cruise |
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Gender | Female |
Speciality | Family Medicine |
Location | 55 Hospital Dr, Athens, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770143141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OT019100 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 34.015970 (Ohio) | Primary |
Entity Name | Ohio Valley Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20050422000921 |
Mailing Address | Practice Location Address |
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Pon Ti Cruise, 121 Doctors Ln, Clarion, PA 16214-8515 Ph: (814) 226-3494 | Pon Ti Cruise, 55 Hospital Dr, Athens, OH 45701-2302 Ph: (740) 593-5991 |
Dr. Beryl R Fruth, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 510b W Union St, Athens, OH 45701 Phone: 740-593-7314 | |
Dr. Joseph Allen Holtel, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Health Center Dr, Athens, OH 45701 Phone: 740-593-1660 Fax: 740-593-0179 | |
Dr. Tracy Lynne Shaub, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2nd Floor Parks Hall, Athens, OH 45701 Phone: 740-593-2516 Fax: 740-593-2905 | |
Lara Householder, Family Medicine Medicare: Medicare Enrolled Practice Location: 26 E Park Dr Ste 105c, Athens, OH 45701 Phone: 740-423-4015 | |
Krista M Duval, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Health Center Dr, Athens, OH 45701 Phone: 740-593-1660 Fax: 740-593-0179 | |
Brooke Nicole Dorothy Smith, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26 Hospital Drive, 2nd Floor, Athens, OH 45701 Phone: 740-249-4122 | |
Melinda E Ford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 W Green Dr Ste 246, Athens, OH 45701 Phone: 740-593-2516 Fax: 740-593-2905 |