Matthew Steven Nienberg, PA | |
715 S Taft Ave, Fremont, OH 43420-3237 | |
(419) 334-6639 | |
(419) 333-2793 |
Full Name | Matthew Steven Nienberg |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 16 Years |
Location | 715 S Taft Ave, Fremont, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063661189 | NPI | - | NPPES |
0071619 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 50.002810 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Fremont, OH | Hospital |
Bluffton Hospital | Bluffton, OH | Hospital |
Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
Lima Memorial Health System | Lima, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Specialty Physicians Of Blanchard Valley Llc | 2668547613 | 101 |
Memorial Hospital | 9739078528 | 6 |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851338149 PECOS PAC ID: 9739078528 Enrollment ID: O20040311000279 |
Mailing Address | Practice Location Address |
---|---|
Matthew Steven Nienberg, PA 715 S Taft Ave, Fremont, OH 43420-3237 Ph: (419) 334-6661 | Matthew Steven Nienberg, PA 715 S Taft Ave, Fremont, OH 43420-3237 Ph: (419) 334-6639 |
Andrea Nicole Hayes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1479 N River Rd, Fremont, OH 43420 Phone: 419-355-9440 Fax: 419-355-9443 | |
Mrs. Marla D Carlisle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 605 Third Avenue, Suite B, Fremont, OH 43420 Phone: 567-201-2890 | |
Jaime L Fox, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 612-940-3709 | |
Alyssa Kromer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1479 N River Rd, Fremont, OH 43420 Phone: 419-355-9440 | |
Chelsea Lauren Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Cleveland Ave, Fremont, OH 43420 Phone: 419-334-6657 |