Martin Menosky Md Llc | |
117 W Main St Ste 206 Lancaster OH 43130-3799 | |
(740) 687-2430 | |
(740) 687-2807 |
Full Name | Martin Menosky Md Llc |
---|---|
Speciality | Family Medicine |
Location | 117 W Main St Ste 206, Lancaster, Ohio |
Authorized Official Name and Position | Martin E Menosky (OWNER) |
Authorized Official Contact | 7406872430 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Martin Menosky Md Llc 564 Mill Park Dr Lancaster OH 43130-7744 Ph: (740) 687-2430 | Martin Menosky Md Llc 117 W Main St Ste 206 Lancaster OH 43130-3799 Ph: (740) 687-2430 |
NPI Number | 1912267022 |
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Provider Enumeration Date | 05/22/2012 |
Last Update Date | 07/30/2024 |
Medicare PECOS PAC ID | 7416113006 |
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Medicare Enrollment ID | O20120726000222 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912267022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Martin E Menosky |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780660886 PECOS PAC ID: 2365354578 Enrollment ID: I20031106000209 |
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