| N M Sansait Md Llc | |
|
8067 Township Road 334 Millersburg OH 44654-9171 | |
| (740) 815-8599 | |
| Not Available |
| Full Name | N M Sansait Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8067 Township Road 334, Millersburg, Ohio |
| Authorized Official Name and Position | Nicomedes Sansait (PRESIDENT) |
| Authorized Official Contact | 7405486954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| N M Sansait Md Llc 2738 Pleasant Colony Dr Lewis Center OH 43035-8129 Ph: (740) 548-6954 | N M Sansait Md Llc 8067 Township Road 334 Millersburg OH 44654-9171 Ph: (740) 815-8599 |
| NPI Number | 1871688762 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/09/2008 |
| Medicare PECOS PAC ID | 6507826534 |
|---|---|
| Medicare Enrollment ID | O20041014000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871688762 | NPI | - | NPPES |
| 2129164 | Medicaid | OH | |
| 40877943200 | Other | OH | BWC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 3576471 (Ohio) | Primary |
| Provider Name | Nicomedes M Sansait |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619063120 PECOS PAC ID: 5597721621 Enrollment ID: I20041209000543 |
Family Life Counseling & Psyciatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 S Clay St, Suite 101, Millersburg, OH 44654 Phone: 419-774-9969 |