Mrs Mary L Spencer, AA | |
18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | |
(440) 816-6246 | |
(440) 816-6263 |
Full Name | Mrs Mary L Spencer |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 16 Years |
Location | 18697 Bagley Rd, Middleburg Heights, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346496148 | NPI | - | NPPES |
2946370 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 67.000138 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest General Health Center | Middleburg heights, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest General Medical Group Inc | 8527964550 | 182 |
Entity Name | Southwest General Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134239676 PECOS PAC ID: 8527964550 Enrollment ID: O20031210000789 |
Entity Name | Ohio Anesthesia Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary L Spencer, AA 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 Ph: (440) 816-6246 | Mrs Mary L Spencer, AA 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 Ph: (440) 816-6246 |
Roy H Haber Jr., A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Oksana Farro, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Robert M Thall, A.A Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Alyssa Cole, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 | |
Christine M. Moore, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 | |
Kriste Nemanis, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-6246 Fax: 440-816-6263 |