Randall A Colucci, DO | |
75 Hospital Dr, Suite 200, Castrop Center, Athens, OH 45701-2857 | |
(740) 566-4880 | |
(740) 566-4881 |
Full Name | Randall A Colucci |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 75 Hospital Dr, Athens, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184618027 | NPI | - | NPPES |
2357239 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34-007244 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parveenco International Llc | 2365545803 | 3 |
Entity Name | Parveenco International Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043376973 PECOS PAC ID: 2365545803 Enrollment ID: O20070321000324 |
Entity Name | Addiction Angels Of America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396148375 PECOS PAC ID: 8628354198 Enrollment ID: O20170418000373 |
Mailing Address | Practice Location Address |
---|---|
Randall A Colucci, DO 75 Hospital Dr, Suite 200, Castrop Center, Athens, OH 45701-2857 Ph: (740) 566-4880 | Randall A Colucci, DO 75 Hospital Dr, Suite 200, Castrop Center, Athens, OH 45701-2857 Ph: (740) 566-4880 |
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 |