Jack Dawson, DO | |
8423 Market St Ste 207, Boardman, OH 44512-6778 | |
(330) 965-5490 | |
(330) 965-5491 |
Full Name | Jack Dawson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 8 Years |
Location | 8423 Market St Ste 207, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528506607 | NPI | - | NPPES |
0230609 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 0102207240 (Virginia) | Secondary |
207X00000X | Orthopaedic Surgery | 34.015892 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Home Care-youngstown | Girard, OH | Home health agency |
Patriot Homecare, Inc | Girard, OH | Home health agency |
Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 391 |
Keystone Rehabilitation Systems Inc | 7012826753 | 533 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
---|---|
Jack Dawson, DO 8423 Market St Ste 207, Boardman, OH 44512-6778 Ph: (330) 965-5490 | Jack Dawson, DO 8423 Market St Ste 207, Boardman, OH 44512-6778 Ph: (330) 965-5490 |
Kathryn Michele Jurenovich, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7630 Southern Blvd, Boardman, OH 44512 Phone: 330-729-8000 | |
Sheryl R Handler-matasar, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6505 Market St Bldg A, Boardman, OH 44512 Phone: 330-746-8070 Fax: 330-729-1946 | |
Dr. Jeffrey Thomas Johnston, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 835 Mckay Ct Ste 100, Boardman, OH 44512 Phone: 330-758-4399 Fax: 330-748-8995 | |
Dr. Douglas H Musser, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1499 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-758-0577 Fax: 330-533-4587 |