| Omnia Medical Group Llc | |
|
65 Highview Blvd Ste 101a Columbus OH 43207-6065 | |
| (614) 587-7778 | |
| (740) 212-8808 |
| Full Name | Omnia Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 65 Highview Blvd Ste 101a, Columbus, Ohio |
| Authorized Official Name and Position | Ashley Renee Brannan (CEO/FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 6145877778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omnia Medical Group Llc 65 Highview Blvd Ste 101a Columbus OH 43207-6065 Ph: (614) 587-7778 | Omnia Medical Group Llc 65 Highview Blvd Ste 101a Columbus OH 43207-6065 Ph: (614) 587-7778 |
| NPI Number | 1073212627 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 3971962861 |
|---|---|
| Medicare Enrollment ID | O20230711000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073212627 | NPI | - | NPPES |
| 0308873 | Medicaid | OH |
| Provider Name | Ashley R Brannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407354012 PECOS PAC ID: 8022368273 Enrollment ID: I20180910000387 |
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