Louis Demicco Do Inc. is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" provider in Painesville, Ohio. Their current practice location is
263 Mentor Ave, Painesville, Ohio. You can reach out to their office (for appointments etc.) via phone at
(440) 354-5643.
Louis Demicco Do Inc. is licensed to practice in Ohio (license number 34006748) and it also participates in the medicare program. Louis Demicco Do Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174948418.
Healthcare Provider's Profile
| Full Name | Louis Demicco Do Inc. |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 263 Mentor Ave, Painesville, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174948418
- Provider Enumeration Date: 02/24/2014
- Last Update Date: 05/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 5092948760
- Enrollment ID: O20140519000764
Medical Identifiers
Medical identifiers for Louis Demicco Do Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174948418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 233 (Ohio) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 34006748 (Ohio) | Primary |
| 225100000X | Physical Therapist | 012350 (Ohio) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Louis Demicco Do Inc. acts as a billing entity for following providers:
| Provider Name | Thomas Hamilton |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1700823309
PECOS PAC ID: 1052345204
Enrollment ID: I20050927000204 |
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| Provider Name | Louis J Demicco |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1568502466
PECOS PAC ID: 3173546710
Enrollment ID: I20060109001124 |
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| Provider Name | Dennis Shcherbakov |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1851523807
PECOS PAC ID: 8921267378
Enrollment ID: I20120305000608 |
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| Provider Name | Robert M Secoy |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1699818880
PECOS PAC ID: 1355502832
Enrollment ID: I20120410000142 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Louis Demicco Do Inc. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Louis Demicco Do Inc.
263 Mentor Ave,
Painesville, OH 44077-3105
Ph: (440) 354-5643 | Louis Demicco Do Inc.
263 Mentor Ave,
Painesville, OH 44077-3105
Ph: (440) 354-5643 |
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