THIRD STREET COMMUNITY CLINIC, INC.
Medicare Clinicians for NPI 1629620109
Clinic/Center - Federally Qualified Health Center (FQHC) in Bucyrus, OH

Active since July 15, 2019
2458 STETZER RD STE A, BUCYRUS, OH 44820(419) 522-6191(419) 525-6723 Get Directions

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2026, Jul 15, 2019 (2 updates tracked since 2019).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Third Street Community Clinic, Inc. in Bucyrus, OH bills Medicare for 52 clinicians across 11 Medicare specialties. The largest specialties are Nurse Practitioner with 19, Clinical Social Worker with 10 and Dentist with 5. Of these, 3 practice at this address and 7 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

52Clinicians
11Medicare specialties
52PECOS enrolled
29Accept Medicare
52 clinicians in 11 specialties

Nurse Practitioner (19)

Nurse Practitioner
NPI 1174973481
2458 STETZER RD
Bucyrus, OH 44820
(419) 563-0530
✔ PECOSSame address
Nurse Practitioner
NPI 1447021076
2458 STETZER RD
Bucyrus, OH 44820
(419) 562-2000
✔ PECOSSame address
Nurse Practitioner
NPI 1609000454
3710 HIEBER RD
Bucyrus, OH 44820
(419) 561-0193
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1942936687
6057 TOWNSHIP ROAD 49
Galion, OH 44833
(419) 512-2398
✔ PECOS15 mi
Nurse Practitioner
NPI 1346741956
31 E MAIN ST
Shelby, OH 44875
(419) 522-6191
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1881999555
31 E MAIN ST
Shelby, OH 44875
(419) 525-6795
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1841549391
320 EXECUTIVE DR
Marion, OH 43302
(740) 387-5210
✔ PECOS20 mi
Nurse Practitioner
NPI 1568832343
770 BALGREEN DR STE 207
Mansfield, OH 44906
(419) 522-6800
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1104752120
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1003594623
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1033961636
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1982410528
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1457733867
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1356997894
116 E MAIN ST STE B
Cardington, OH 43315
(419) 718-8130
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1982316949
200 PARK AVE W
Mansfield, OH 44902
(419) 522-2239
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1225539463
1268 N STEWART RD
Mansfield, OH 44903
(419) 989-1651
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1700604048
7500 HOSPITAL DR
Dublin, OH 43016
(614) 544-8000
✔ PECOS51 mi
Nurse Practitioner
NPI 1396231247
7140 PORT SYLVANIA DR
Toledo, OH 43617
(419) 475-4449
✔ PECOS✔ Accepts Medicare72 mi
Nurse Practitioner
NPI 1063804631
4867 URBANA RD
Springfield, OH 45502
(937) 563-4901
✔ PECOS73 mi

Clinical Social Worker (10)

Clinical Social Worker
NPI 1922262583
354 ARCH DR
Bucyrus, OH 44820
(419) 562-3997
✔ PECOS2.8 mi
Clinical Social Worker
NPI 1932735438
2775 STATE ROUTE 39
Shelby, OH 44875
(419) 747-3322
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1649775909
320 EXECUTIVE DR
Marion, OH 43302
(740) 387-5210
✔ PECOS20 mi
Clinical Social Worker
NPI 1831118462
320 EXECUTIVE DR
Marion, OH 43302
(740) 387-5210
✔ PECOS20 mi
Clinical Social Worker
NPI 1093179236
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1710106984
600 W. THIRD STREET
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1619123288
1080 LEXINGTON AVE
Mansfield, OH 44907
(419) 756-9975
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1780278051
2233 ROCKY LN
Ashland, OH 44805
(419) 281-3716
✔ PECOS33 mi
Clinical Social Worker
NPI 1780806208
2285 BENDEN DR
Wooster, OH 44691
(330) 264-9029
✔ PECOS54 mi
Clinical Social Worker
NPI 1154461960
2780 AIRPORT DR STE 100
Columbus, OH 43219
(614) 859-1906
✔ PECOS56 mi

Dentist (5)

Dentist
NPI 1619287950
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS21 mi
Dentist
NPI 1114239183
600 WEST THIRD STREET
Mansfield, OH 44906
(419) 522-6191
✔ PECOS21 mi
Dentist
NPI 1225527732
63 E MAIN ST
New London, OH 44851
(419) 929-1544
✔ PECOS34 mi
Dentist
NPI 1043574171
240 PARSONS AVE
Columbus, OH 43215
(614) 645-6251
✔ PECOS59 mi
Dentist
NPI 1326334533
35040 CHARDON RD 201
Willoughby Hills, OH 44094
(440) 946-9701
✔ PECOS95 mi

Mental Health Counselor (5)

Mental Health Counselor
NPI 1811481815
2458 STETZER RD
Bucyrus, OH 44820
(419) 562-2000
✔ PECOSSame address
Mental Health Counselor
NPI 1639563026
2458 STETZER RD
Bucyrus, OH 44820
(419) 562-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1841539475
2458 STETZER RD
Bucyrus, OH 44820
(419) 562-2000
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1750784443
741 SCHOLL RD
Mansfield, OH 44907
(419) 756-1717
✔ PECOS22 mi
Mental Health Counselor
NPI 1871649277
320 EXECUTIVE DR
Marion, OH 43302
(740) 387-5210
✔ PECOS

Optometry (5)

Optometry
NPI 1205915451
8113 HUNTING VALLEY DR
Youngstown, OH 44512
(412) 480-0275
✔ PECOS✔ Accepts Medicare118 mi
Optometry
NPI 1235145764
41 W PUTNAM AVE
Greenwich, CT 06830
(203) 869-2255
✔ PECOS✔ Accepts Medicare487 mi
Optometry
NPI 1679623938
1810 N JERUSALEM RD
N Bellmore, NY 11710
(516) 214-6815
✔ PECOS✔ Accepts Medicare492 mi
Optometry
NPI 1528084662
96 DANBURY RD
Ridgefield, CT 06877
(203) 438-5855
✔ PECOS494 mi
Optometry
NPI 1609346246
4927 S 292ND ST
Auburn, WA 98001
(253) 249-8182
✔ PECOS✔ Accepts Medicare1,986 mi

Family Practice (2)

Family Practice
NPI 1063945533
200 PARK AVE W
Mansfield, OH 44902
(419) 522-6191
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1013924125
444 W EXCHANGE ST
Akron, OH 44302
(234) 417-7630
✔ PECOS76 mi

Psychiatry (2)

Psychiatry
NPI 1437578804
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare21 mi
Psychiatry
NPI 1861503591
188 W HEBBLE AVE
Fairborn, OH 45324
(614) 893-0910
✔ PECOS✔ Accepts Medicare89 mi

Certified Nurse Midwife (CNM) (1)

Certified Nurse Midwife (CNM)
NPI 1184168783
1315 W LANE AVE
Columbus, OH 43221
(614) 457-4827
✔ PECOS✔ Accepts Medicare56 mi

Geriatric Medicine (1)

Geriatric Medicine
NPI 1598776072
2500 METROHEALTH DR
Cleveland, OH 44109
(216) 778-7800
✔ PECOS✔ Accepts Medicare79 mi

Obstetrics/Gynecology (1)

Obstetrics/Gynecology
NPI 1023013976
1 WYOMING ST BERRY BLDG, GROUND FL
Dayton, OH 45409
(937) 208-2516
✔ PECOS✔ Accepts Medicare99 mi

Podiatry (1)

Podiatry
NPI 1225293020
600 W 3RD ST
Mansfield, OH 44906
(419) 522-6191
✔ PECOS✔ Accepts Medicare21 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Third Street Community Clinic, Inc. appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.