Dr Gordon A Bodzin, MD | |
9500 Mentor Ave Ste 200, Mentor, OH 44060-8702 | |
(440) 354-1899 | |
(440) 354-1845 |
Full Name | Dr Gordon A Bodzin |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 27 Years |
Location | 9500 Mentor Ave Ste 200, Mentor, 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 |
---|---|---|---|
1053388637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 36446 (Arizona) | Secondary |
208600000X | Surgery | A88984 (California) | Secondary |
208600000X | Surgery | 35.121334 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ashtabula County Medical Center | Ashtabula, OH | Hospital |
Lake Health | Concord, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ashtabula County Medical Center | 2668465600 | 65 |
Lake Hospital System, Inc. | 6002713922 | 137 |
Entity Name | University Primary Care Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Entity Name | Lake Hospital System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
Entity Name | Ashtabula County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
---|---|
Dr Gordon A Bodzin, MD 5105 Som Center Rd #107, Mentor, OH 44060 Ph: (440) 953-5712 | Dr Gordon A Bodzin, MD 9500 Mentor Ave Ste 200, Mentor, OH 44060-8702 Ph: (440) 354-1899 |
Dr. Janet May Blanchard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6990 Lindsay Dr, Suite #5, Mentor, OH 44060 Phone: 440-974-8577 | |
Dr. David Meir Reznick, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 9500 Mentor Ave Ste 200, Mentor, OH 44060 Phone: 440-354-0377 Fax: 440-354-9368 | |
Dr. John P. Ferron, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 9500 Mentor Ave, Suite 300, Mentor, OH 44060 Phone: 440-354-0377 Fax: 440-354-9368 |