| Donohoo Primary Care Llc | |
|
5160 State Route 125 Georgetown OH 45121-9518 | |
| (937) 213-1092 | |
| Not Available |
| Full Name | Donohoo Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5160 State Route 125, Georgetown, Ohio |
| Authorized Official Name and Position | Venita C Milburn (PRACTICE MANAGER) |
| Authorized Official Contact | 5133042523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donohoo Primary Care Llc 7407 Fox Run Rd Georgetown OH 45121-8414 Ph: (937) 213-1092 | Donohoo Primary Care Llc 5160 State Route 125 Georgetown OH 45121-9518 Ph: (937) 213-1092 |
| NPI Number | 1528628773 |
|---|---|
| Provider Enumeration Date | 06/19/2019 |
| Last Update Date | 06/19/2019 |
| Medicare PECOS PAC ID | 6103152624 |
|---|---|
| Medicare Enrollment ID | O20190722002233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528628773 | NPI | - | NPPES |
| 0555662 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Donohoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770671232 PECOS PAC ID: 3870637994 Enrollment ID: I20100212000397 |
Healthsource: Georgetown Pediatrics And Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 631 E State St, Georgetown, OH 45121 Phone: 937-378-6387 Fax: 937-378-4253 | |
Adams County Regional Medical Center (acrmc) Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Mount Orab Pike, Georgetown, OH 45121 Phone: 937-378-3075 | |
Healthsource: Georgetown Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 E State St, Georgetown, OH 45121 Phone: 937-378-6387 Fax: 937-378-4253 | |
Adams County Regional Medical Center (acrmc) Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Mount Orab Pike, Georgetown, OH 45121 Phone: 937-386-3075 | |
Brown County Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Home St, Georgetown, OH 45121 Phone: 937-378-7510 Fax: 937-378-7513 |