Sanjoy Banerjee, MD | |
2109 Hughes Dr, Suite 860, Toledo, OH 43606-3856 | |
(419) 291-7010 | |
(419) 479-6917 |
Full Name | Sanjoy Banerjee |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 2109 Hughes Dr, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730121575 | NPI | - | NPPES |
000000521494 | Other | OH | ANTHEM |
5202134 | Medicaid | MI | |
7978181 | Other | OH | AETNA |
06120 | Other | OH | PARAMOUNT |
2665692 | Other | OH | BCMH |
$$$$$$$$$ | Other | MMO | |
2665692 | Medicaid | OH | |
734534 | Other | OH | BUCKEYE COMMUNITY HEALTH |
46880 | Other | HEALTH PLAN OF MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 35.087838 (Ohio) | Primary |
Entity Name | Northwest Pediatric Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
Mailing Address | Practice Location Address |
---|---|
Sanjoy Banerjee, MD 2109 Hughes Dr, Suite 860, Toledo, OH 43606-3856 Ph: (419) 291-7010 | Sanjoy Banerjee, MD 2109 Hughes Dr, Suite 860, Toledo, OH 43606-3856 Ph: (419) 291-7010 |
Erica Devries, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, 5-north Pediatrics, Toledo, OH 43606 Phone: 419-291-4000 Fax: 419-479-6102 | |
Dr. Lysa Marleen Aemmer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2213 Franklin Ave, Toledo, OH 43620 Phone: 419-251-2415 | |
Robert W Mills, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7629 Kings Pointe Rd, Toledo, OH 43617 Phone: 419-841-6202 Fax: 419-841-6338 | |
Dr. Deepa Mukundan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 W Central Ave Fl 2, Toledo, OH 43606 Phone: 419-291-5599 Fax: 419-291-6468 | |
Robert Jan Salzman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3715 Airport Highway, Suite H, Toledo, OH 43615 Phone: 419-389-1444 Fax: 419-389-6755 | |
Dr. David Geisinger, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4000 | |
Brian S Bradley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4225 Fax: 419-479-6193 |