Wyandot Medical Providers At Forest is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Forest, Ohio. The current practice location for Wyandot Medical Providers At Forest is 112 E Lima St, Forest, Ohio. For appointments, you can reach them via phone at
(419) 273-5104. The mailing address for Wyandot Medical Providers At Forest is 885 N Sandusky Ave, Upper Sandusky, Ohio and phone number is (419) 294-4991.
Wyandot Medical Providers At Forest is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1861908071. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(419) 273-5104.
Primary Care Clinic Profile
| Full Name | Wyandot Medical Providers At Forest |
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| Speciality | Clinic/Center |
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| Location | 112 E Lima St, Forest, Ohio |
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| Authorized Official Name and Position | Ty R Shaull (PRESIDENT & CEO) |
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| Authorized Official Contact | 4192944991 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Wyandot Medical Providers At Forest
885 N Sandusky Ave
Upper Sandusky
OH 43351-1098
Ph: (419) 294-4991 | Wyandot Medical Providers At Forest
112 E Lima St
Forest
OH 45843-1116
Ph: (419) 273-5104 |
NPI Details:
| NPI Number | 1861908071 |
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| Provider Enumeration Date | 12/26/2017 |
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| Last Update Date | 09/23/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1557340189 |
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| Medicare Enrollment ID | O20230915001914 |
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Medical Identifiers
Medical identifiers for Wyandot Medical Providers At Forest such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861908071 | NPI | - | NPPES |
| 0394927 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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