Dr Roman Davidenko, MD in Boardman, OH - Medicare Family Practice

Dr Roman Davidenko, MD is a medicare enrolled "Family Medicine" physician in Boardman, Ohio. He went to Northeastern Ohio University College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Shc Youngstown Ohio Outpatient Services Llc, Steward Medical Group Inc and his current practice location is 4150 Oak Knoll Dr, Boardman, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 328-2239.

Dr Roman Davidenko is licensed to practice in Ohio (license number 35-121391) 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 1366739039.

Contact Information

	Dr Roman Davidenko, MD
	4150 Oak Knoll Dr, Boardman, OH 44512-1013
	(330) 328-2239
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Roman Davidenko
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	4150 Oak Knoll Dr, Boardman, 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.

Medical Education and Training:

Dr Roman Davidenko attended and graduated from Northeastern Ohio University College Of Medicine in 2011

NPI Data:

NPI Number: 1366739039
Provider Enumeration Date: 07/01/2011
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 7911123211
Enrollment ID: I20140722002581

Medical Identifiers

Medical identifiers for Dr Roman Davidenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366739039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35-121391 (Ohio)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trumbull Regional Medical Center	Warren, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shc Youngstown Ohio Outpatient Services Llc	1850662032	3
Steward Medical Group Inc	2860688728	1338

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. Dr Roman Davidenko allows following entities to bill medicare on his behalf.

Entity Name	Steward Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902347438 PECOS PAC ID: 2860688728 Enrollment ID: O20170515002104

Entity Name	Shc Youngstown Ohio Outpatient Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114450764 PECOS PAC ID: 1850662032 Enrollment ID: O20170807001253

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. Dr Roman Davidenko 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
Dr Roman Davidenko, MD 4150 Oak Knoll Dr, Boardman, OH 44512-1013 Ph: (330) 328-2239	Dr Roman Davidenko, MD 4150 Oak Knoll Dr, Boardman, OH 44512-1013 Ph: (330) 328-2239

Reviews and Comments

Family Medicine Doctors in Boardman, OH

Mrs. Debbie Lee Walker, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 Mckay Ct Ste 100, Boardman, OH 44512 Phone: 330-729-8970 Fax: 330-729-8971
Mrs. Nimra Shafiq, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8423 Market Street. Suite 101, Boardman, OH 44512 Phone: 330-729-8700 Fax: 330-729-8701
Thomas Donald Macabobby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St, Ste 101, Boardman, OH 44512 Phone: 330-729-8700 Fax: 330-729-8701
Dr. Michael Theodore Cratsley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St Ste 207, Boardman, OH 44512 Phone: 330-965-5490 Fax: 330-965-5491
Benjamin Robert Brocker, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7341 Eisenhower Dr, Boardman, OH 44512 Phone: 330-726-1138 Fax: 330-726-6128
Dr. Anne Mcpherren Stover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Debartolo Pl, Suite 1650, Boardman, OH 44512 Phone: 330-726-9355 Fax: 330-726-9444
Sameera Rahman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 901 Trailwood Dr, Boardman, OH 44512 Phone: 330-726-3000 Fax: 330-726-2612

Dr Roman Davidenko, MD - Medicare Family Practice in Boardman, OH