| Birch Wellness Group Llc | |
|
5239 Columbus Rd Ste A Granville OH 43023-9624 | |
| (614) 924-7412 | |
| (614) 683-5850 |
| Full Name | Birch Wellness Group Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5239 Columbus Rd Ste A, Granville, Ohio |
| Authorized Official Name and Position | Amy Klinger (PRESIDENT) |
| Authorized Official Contact | 6149247412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Wellness Group Llc 333 Shannon Ln Granville OH 43023-9423 Ph: (614) 924-7412 | Birch Wellness Group Llc 5239 Columbus Rd Ste A Granville OH 43023-9624 Ph: (614) 924-7412 |
| NPI Number | 1427811280 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 4284072687 |
|---|---|
| Medicare Enrollment ID | O20240404001258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427811280 | NPI | - | NPPES |
| Provider Name | Beth E Salzwedel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821152331 PECOS PAC ID: 2860585478 Enrollment ID: I20070912000222 |
| Provider Name | Amy J Klinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205142270 PECOS PAC ID: 2264558196 Enrollment ID: I20100928000849 |
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