| Mathew M. Jose, M.d., Inc | |
|
1015 S Blackhoof St Wapakoneta OH 45895-2209 | |
| (419) 738-3317 | |
| (419) 738-5952 |
| Full Name | Mathew M. Jose, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1015 S Blackhoof St, Wapakoneta, Ohio |
| Authorized Official Name and Position | Mathew M Jose (OWNER) |
| Authorized Official Contact | 4197383317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathew M. Jose, M.d., Inc Po Box 39 Wapakoneta OH 45895-0039 Ph: (419) 738-3317 | Mathew M. Jose, M.d., Inc 1015 S Blackhoof St Wapakoneta OH 45895-2209 Ph: (419) 738-3317 |
| NPI Number | 1447352786 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 04/04/2011 |
| Medicare PECOS PAC ID | 6507946522 |
|---|---|
| Medicare Enrollment ID | O20080103000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447352786 | NPI | - | NPPES |
| DN5206 | Other | OH | RAILROAD MEDICARE GROUP PTAN |
| 2834893 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35072597J (Ohio) | Primary |
| Provider Name | Mathew M Jose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467429977 PECOS PAC ID: 5597769596 Enrollment ID: I20060906000224 |
| Provider Name | Barbara Pleiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073007027 PECOS PAC ID: 3173872686 Enrollment ID: I20180816001619 |
| Provider Name | Janel Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538629357 PECOS PAC ID: 8325371594 Enrollment ID: I20230804003331 |
Deron Horman, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 S Blackhoof St, Wapakoneta, OH 45895 Phone: 419-738-3317 Fax: 419-738-5952 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 N Blackhoof St, Wapakoneta, OH 45895 Phone: 866-808-6005 | |
Auglaize Family Practice Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 W Auglaize St, Wapakoneta, OH 45895 Phone: 419-738-9601 Fax: 419-941-1368 | |
Lmpc Specialists At Wapakoneta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 W Redskin Trl, Wapakoneta, OH 45895 Phone: 419-738-5151 Fax: 419-941-1092 |