Dr Gregory Paul Kezele, MD | |
3737 Park East Dr Ste 109, Beachwood, OH 44122-4329 | |
(216) 464-7333 | |
(216) 464-2696 |
Full Name | Dr Gregory Paul Kezele |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 3737 Park East Dr Ste 109, Beachwood, 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 |
---|---|---|---|
1972563997 | NPI | - | NPPES |
000000339410 | Other | OH | ANTHEM |
2255705 | Medicaid | OH | |
80507 | Other | OH | QUALCHOICE |
9379701 | Other | OH | GROUP MEDICARE PTAN |
DO6570 | Other | OH | GROUP MEDICARE RAILROAD PTAN |
264200000 | Other | OH | DEPT OF LABOR |
H152671 | Other | OH | MEDICARE INDIVIDUAL PTAN |
P01371818 | Other | OH | MEDICARE RAILROAD INDIVIDUAL PTAN |
264200000 | Other | OH | FEDERAL BLACK LUNG |
341425870042 | Other | OH | MEDICAL MUTUAL OF OHIO |
6600162 | Other | OH | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35-057308 (Ohio) | Secondary |
202K00000X | Phlebology | 35057308 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Health | Concord, OH | Hospital |
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 | Northeast Ohio Vascular Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578662102 PECOS PAC ID: 2961452305 Enrollment ID: O20050125000019 |
Entity Name | Parker Skin & Aesthetic Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609894575 PECOS PAC ID: 4587614813 Enrollment ID: O20050125000580 |
Entity Name | Gregory P Kezele Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821728478 PECOS PAC ID: 3072992130 Enrollment ID: O20220620001493 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Paul Kezele, MD 3737 Park East Dr Ste 109, Beachwood, OH 44122-4329 Ph: (216) 464-7333 | Dr Gregory Paul Kezele, MD 3737 Park East Dr Ste 109, Beachwood, OH 44122-4329 Ph: (216) 464-7333 |