Preeti Gudimella, MD | |
24 Hyde St, Wakeman, OH 44889-9301 | |
(440) 839-2226 | |
(440) 839-1339 |
Full Name | Preeti Gudimella |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 9 Years |
Location | 24 Hyde St, Wakeman, 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 |
---|---|---|---|
1932620218 | NPI | - | NPPES |
0426729 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301113335 (Michigan) | Secondary |
207Q00000X | Family Medicine | 35.140974 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fisher-titus Hospital | Norwalk, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fisher-titus Medical Care Llc | 6507940566 | 64 |
Entity Name | Fisher-titus Medical Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467636399 PECOS PAC ID: 6507940566 Enrollment ID: O20080228000695 |
Mailing Address | Practice Location Address |
---|---|
Preeti Gudimella, MD 272 Benedict Ave, Norwalk, OH 44857-2374 Ph: () - | Preeti Gudimella, MD 24 Hyde St, Wakeman, OH 44889-9301 Ph: (440) 839-2226 |
Preet Gudimella, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24 Hyde St, Wakeman, OH 44889 Phone: 440-839-2226 Fax: 440-839-1339 | |
Samuel E Ross, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Hyde St, Wakeman, OH 44889 Phone: 440-839-2226 Fax: 440-839-1339 | |
Christina A Canfield, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Hyde St, Wakeman, OH 44889 Phone: 440-839-2226 Fax: 440-839-1591 |