Bluffton Physicians | |
132 Garau St Bluffton OH 45817-1028 | |
(419) 358-5916 | |
(419) 358-2302 |
Full Name | Bluffton Physicians |
---|---|
Speciality | Family Medicine |
Location | 132 Garau St, Bluffton, Ohio |
Authorized Official Name and Position | Marion I Shelly (DOCTOR) |
Authorized Official Contact | 4193585916 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bluffton Physicians Po Box 69 132 Garau St Bluffton OH 45817-0069 Ph: (419) 358-5916 | Bluffton Physicians 132 Garau St Bluffton OH 45817-1028 Ph: (419) 358-5916 |
NPI Number | 1023238771 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 03/21/2013 |
Medicare PECOS PAC ID | 4183657257 |
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Medicare Enrollment ID | O20050919000324 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023238771 | NPI | - | NPPES |
0422582 | Medicaid | OH | |
04277 | Other | OH | PARAMOUNT |
4508989 | Other | OH | AETNA |
22000000164882 | Other | OH | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Marion I Shelly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558429746 PECOS PAC ID: 4981637055 Enrollment ID: I20100812000147 |
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