Mary Alice A Momeyer
METHODIST ELDERCARE PHYSICIAN SERVICES INC


Address: 155 Fenway Rd, Columbus, OH 43214-1407
Phone: 6148887492

Mary Alice A Momeyer (NPI# 1083642094, PAC ID# 3870510092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1083642094
PAC ID by PECOS 3870510092
Professional Enrollment ID I20051027000575
Full Name Mary Alice A Momeyer
Organization Legal Name METHODIST ELDERCARE PHYSICIAN SERVICES INC
Address 155 Fenway Rd
Columbus
OH 43214-1407
Phone Number 6148887492
Gender F
Credential NP
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9133430911
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360006 RIVERSIDE METHODIST HOSPITAL

Other Locations

Address Phone Organization
155 Fenway Rd, Columbus, OH 43214-1407 6148887492 METHODIST ELDERCARE PHYSICIAN SERVICES INC
5155 N High St, Columbus, OH 43214-1525 6148887492 METHODIST ELDERCARE PHYSICIAN SERVICES INC

Organization Information

Organization Legal Name METHODIST ELDERCARE PHYSICIAN SERVICES INC
Physicians 1

Office Location

Street Address 155 FENWAY RD
City COLUMBUS
State OH
Zip 43214-1407

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Amanda R Fant Internal Medicine Central Ohio Primary Care Physicians, Inc. 4895 Olentangy River Rd, Suite 250, Columbus, OH 43214-1184
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David Lawrence Condon Internal Medicine Central Ohio Primary Care Physicians, Inc. 4895 Olentangy River Rd, Columbus, OH 43214-1184
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Competitor

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City COLUMBUS
Zip Code 43214
Specialty NURSE PRACTITIONER
City + Specialty COLUMBUS + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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