Douglas J Potoczak, MD - Medicare Family Practice in N Ridgeville, OH

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Douglas J Potoczak, MD is a medicare enrolled "Family Medicine" physician in N Ridgeville, Ohio. He went to Wright State University Boonshoft School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Primary Care Practices Inc and his current practice location is 6115 Emerald St, N Ridgeville, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 406-5800.

Douglas J Potoczak is licensed to practice in Ohio (license number 35060432) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710190046.

Contact Information

Douglas J Potoczak, MD
6115 Emerald St,
N Ridgeville, OH 44039-2047
(440) 406-5800
(216) 201-6914

Map and Direction




Physician's Profile

Full NameDouglas J Potoczak
GenderMale
SpecialityFamily Practice
Experience35 Years
Location6115 Emerald St, N Ridgeville, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas J Potoczak attended and graduated from Wright State University Boonshoft School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1710190046
  • Provider Enumeration Date: 05/07/2007
  • Last Update Date: 12/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7517003841
  • Enrollment ID: I20100525000688

Medical Identifiers

Medical identifiers for Douglas J Potoczak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710190046NPI-NPPES
3025372MedicaidOH
0897874MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35060432 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Hospital Home Care Services, IncWarrensville hts, OHHome health agency
University Hospitals Of ClevelandCleveland, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Primary Care Practices Inc3072417534930

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas J Potoczak allows following entities to bill medicare on his behalf.
Entity NameUniversity Primary Care Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767

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. Douglas J Potoczak 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 AddressPractice Location Address
Douglas J Potoczak, MD
Po Box 636643,
Cincinnati, OH 45263-6643

Ph: (440) 989-3801		Douglas J Potoczak, MD
6115 Emerald St,
N Ridgeville, OH 44039-2047

Ph: (440) 406-5800

Reviews and Comments


Family Medicine Doctors in N Ridgeville, OH

Frank M Hiti, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6115 Emerald St, N Ridgeville, OH 44039
Phone: 440-327-7372    Fax: 440-327-0629
Thomas Wagner, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 34960 Center Ridge Rd, N Ridgeville, OH 44039
Phone: 440-353-3433    Fax: 440-353-3431
Gabriella Palma, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 34960 Center Ridge Rd, N Ridgeville, OH 44039
Phone: 440-353-3433    Fax: 440-353-3431
James Carroccio, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6115 Emerald St, N Ridgeville, OH 44039
Phone: 440-327-7372    Fax: 440-327-0629

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.