Dr Dominic Neal Mastruserio, MD | |
941 Chatham Lane, Suite 323, Columbus, OH 43221 | |
(614) 442-6647 | |
(614) 442-6648 |
Full Name | Dr Dominic Neal Mastruserio |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 33 Years |
Location | 941 Chatham Lane, Columbus, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508818386 | NPI | - | NPPES |
000000130128 | Other | ANTHEM | |
0300516 | Other | UHC | |
2309291 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 35072392M (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Methodist Hospital | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
D. Neal Mastruserio, M.d., Llc | 4789772013 | 3 |
Entity Name | D. Neal Mastruserio, M.d., Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750570453 PECOS PAC ID: 4789772013 Enrollment ID: O20071120000095 |
Mailing Address | Practice Location Address |
---|---|
Dr Dominic Neal Mastruserio, MD 941 Chatham Ln, Suite 323, Columbus, OH 43221-2416 Ph: (614) 442-6647 | Dr Dominic Neal Mastruserio, MD 941 Chatham Lane, Suite 323, Columbus, OH 43221 Ph: (614) 442-6647 |
Benjamin Harris Kaffenberger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1328 Dublin Rd Ste 100, Columbus, OH 43215 Phone: 614-293-1707 Fax: 614-293-1716 | |
Dr. Alecia Marie Blaszczak, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-688-4497 | |
Joy L Mosser-goldfarb, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 555 S 18th St, Columbus, OH 43205 Phone: 614-722-6200 | |
Mary Jo Kendrick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Olentangy River Rd, Suite 4000, Columbus, OH 43214 Phone: 614-268-2748 Fax: 614-263-3376 | |
Michael C Chen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1830 Bethel Rd Ste C, Columbus, OH 43220 Phone: 614-754-8781 Fax: 614-754-8924 | |
Clem Ryan Kirkland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Olentangy River Rd, Suite 4000, Columbus, OH 43214 Phone: 614-268-2748 Fax: 614-263-3376 | |
Stephanie K. Fabbro, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4300 Clime Rd Ste 100, Columbus, OH 43228 Phone: 614-887-7723 Fax: 614-639-8003 |