Vijaya Y Samadi, MD | |
1950 Mount Saint Marys Dr, Nelsonville, OH 45764-1280 | |
(740) 753-1931 | |
(740) 753-3177 |
Full Name | Vijaya Y Samadi |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1950 Mount Saint Marys Dr, Nelsonville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245200872 | NPI | - | NPPES |
2510714 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35-084919 (Ohio) | Primary |
Entity Name | Ohio Emergency Professionals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
Entity Name | Island Medical Van Wert Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275059982 PECOS PAC ID: 0749546075 Enrollment ID: O20171102000655 |
Entity Name | Acute Care Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710917166 PECOS PAC ID: 8426011495 Enrollment ID: O20190415001859 |
Mailing Address | Practice Location Address |
---|---|
Vijaya Y Samadi, MD Po Box 65274, Charlotte, NC 28265-0274 Ph: (800) 377-8721 | Vijaya Y Samadi, MD 1950 Mount Saint Marys Dr, Nelsonville, OH 45764-1280 Ph: (740) 753-1931 |
Colleen Fussell, ATC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Buckeye Dr, Nelsonville, OH 45764 Phone: 407-595-7793 | |
David E. Brown, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1950 Mount Saint Marys Dr, Nelsonville, OH 45764 Phone: 740-753-1931 Fax: 740-753-3177 | |
Vimalesh Lysander, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1950 Mount Saint Marys Dr, Nelsonville, OH 45764 Phone: 740-753-1931 Fax: 740-753-3177 |