Edward J Picardi, MD, FACS | |
4000 Johnson Rd Fl 2, Steubenville, OH 43952-2364 | |
(740) 266-5956 | |
(740) 266-5957 |
Full Name | Edward J Picardi |
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Gender | Male |
Speciality | Surgery |
Location | 4000 Johnson Rd Fl 2, Steubenville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992886097 | NPI | - | NPPES |
7301243 | Medicaid | SD | |
0005993 | Other | SD | BLUE CROSS BLUE SHIELD |
0392398 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2822 (South Dakota) | Secondary |
208600000X | Surgery | 35.050753 (Ohio) | Primary |
Entity Name | Trinity West |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043234677 PECOS PAC ID: 5496648875 Enrollment ID: O20040209000132 |
Mailing Address | Practice Location Address |
---|---|
Edward J Picardi, MD, FACS 101 E Minnesota St, Suite 220, Rapid City, SD 57701-7756 Ph: (605) 342-5573 | Edward J Picardi, MD, FACS 4000 Johnson Rd Fl 2, Steubenville, OH 43952-2364 Ph: (740) 266-5956 |
Mr. Dominic Anthony Macedonia, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 523 North Fourth St, Steubenville, OH 43952 Phone: 740-282-1144 Fax: 740-282-2374 | |
Jayapal G Reddy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4100 Johnson Rd Ste 202, Steubenville, OH 43952 Phone: 740-282-8746 Fax: 740-282-2800 | |
Mr. Samuel David Licata, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4000 Johnson Rd, 2nd Floor, Steubenville, OH 43952 Phone: 740-266-5959 Fax: 740-266-5957 |