Susie Wyse, MD | |
1101 Decatur St, Sandusky, OH 44870-3335 | |
(419) 626-7400 | |
Not Available |
Full Name | Susie Wyse |
---|---|
Gender | Female |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 1101 Decatur St, Sandusky, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588658538 | NPI | - | NPPES |
0674800 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 35052248W (Ohio) | Primary |
Entity Name | Firelands Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801884655 PECOS PAC ID: 6103734645 Enrollment ID: O20040415000236 |
Mailing Address | Practice Location Address |
---|---|
Susie Wyse, MD 2203 Eagles Nest Cir, Sandusky, OH 44870-7024 Ph: (419) 625-1343 | Susie Wyse, MD 1101 Decatur St, Sandusky, OH 44870-3335 Ph: (419) 626-7400 |
Mark Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 420 Superior St, Sandusky, OH 44870 Phone: 419-626-5623 Fax: 419-626-8778 | |
John Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Decatur St, Sandusky, OH 44870 Phone: 419-626-7400 | |
Michael Babiuch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Decatur St, Sandusky, OH 44870 Phone: 419-626-7400 | |
Edward Radatz Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 Decatur St, Sandusky, OH 44870 Phone: 419-626-7400 | |
Jared Michael Lizzi, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Hayes Ave, Sandusky, OH 44870 Phone: 419-202-1705 Fax: 419-626-8316 | |
Scott Campbell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 Decatur St, Sandusky, OH 44870 Phone: 419-626-7400 |