| Wellington Provider Group Pc | |
|
100 E Campus View Blvd Ste 250 Columbus OH 43235-4682 | |
| (859) 439-0400 | |
| Not Available |
| Full Name | Wellington Provider Group Pc |
|---|---|
| Speciality | General Practice |
| Location | 100 E Campus View Blvd Ste 250, Columbus, Ohio |
| Authorized Official Name and Position | Brittany Dennis (BILLING/CREDENTIALING MANAGER) |
| Authorized Official Contact | 9199127181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellington Provider Group Pc 535 Wellington Way Ste 330 Lexington KY 40503-1331 Ph: () - | Wellington Provider Group Pc 100 E Campus View Blvd Ste 250 Columbus OH 43235-4682 Ph: (859) 439-0400 |
| NPI Number | 1881318087 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 09/30/2022 |
| Medicare PECOS PAC ID | 8123412459 |
|---|---|
| Medicare Enrollment ID | O20230203001182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881318087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Carl Seger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699957308 PECOS PAC ID: 1951455773 Enrollment ID: I20230227002013 |
| Provider Name | Jeremy Stich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295027126 PECOS PAC ID: 7416133616 Enrollment ID: I20230228000200 |
| Provider Name | Julie Foucher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912433756 PECOS PAC ID: 8729355326 Enrollment ID: I20230228002028 |
| Provider Name | Michael Mallin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730330788 PECOS PAC ID: 8224180989 Enrollment ID: I20230317000444 |
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