Familymed Plus Llc | |
187 W Main St Ste 100 Saint Clairsville OH 43950-1157 | |
(740) 695-3000 | |
(740) 695-6486 |
Full Name | Familymed Plus Llc |
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Speciality | Family Medicine |
Location | 187 W Main St Ste 100, Saint Clairsville, Ohio |
Authorized Official Name and Position | Russell S Lee-wood (MD) |
Authorized Official Contact | 7406953000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Familymed Plus Llc 187 W Main St Ste 100 Saint Clairsville OH 43950-1157 Ph: (740) 695-3000 | Familymed Plus Llc 187 W Main St Ste 100 Saint Clairsville OH 43950-1157 Ph: (740) 695-3000 |
NPI Number | 1093452773 |
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Provider Enumeration Date | 05/16/2022 |
Last Update Date | 06/06/2022 |
Medicare PECOS PAC ID | 0941684575 |
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Medicare Enrollment ID | O20220831002529 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093452773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Russell S Lee-wood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619928488 PECOS PAC ID: 6103820576 Enrollment ID: I20060828000343 |
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