| Picone Family Medicine, Llc | |
|
9621 E Center St Windham OH 44288-1010 | |
| (330) 326-6193 | |
| Not Available |
| Full Name | Picone Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9621 E Center St, Windham, Ohio |
| Authorized Official Name and Position | Mandy Rae Picone (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 2169264717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Picone Family Medicine, Llc 1027 Aurora Hill Dr Aurora OH 44202-8421 Ph: () - | Picone Family Medicine, Llc 9621 E Center St Windham OH 44288-1010 Ph: (330) 326-6193 |
| NPI Number | 1750935375 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 10/04/2019 |
| Medicare PECOS PAC ID | 6901138627 |
|---|---|
| Medicare Enrollment ID | O20191030002123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750935375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lindsay S Acomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831394634 PECOS PAC ID: 1456595735 Enrollment ID: I20130926000852 |
| Provider Name | Mandy Rae Picone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770012312 PECOS PAC ID: 4486922242 Enrollment ID: I20170717003409 |
The Windham Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9250 N Main St, Windham, OH 44288 Phone: 330-326-3666 |