Kevin J Bercik, DO | |
269 Portland Way S, Galion, OH 44833-2312 | |
(419) 468-4841 | |
Not Available |
Full Name | Kevin J Bercik |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 269 Portland Way S, Galion, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952368540 | NPI | - | NPPES |
000000319935 | Other | OH | BLUE CROSS BLUE SHIELD |
0528512 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34003334B (Ohio) | Primary |
Entity Name | North Central Ohio Family Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689822827 PECOS PAC ID: 3274437082 Enrollment ID: O20031124000232 |
Entity Name | Ohio Emergency Professionals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
Mailing Address | Practice Location Address |
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Kevin J Bercik, DO 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Kevin J Bercik, DO 269 Portland Way S, Galion, OH 44833-2312 Ph: (419) 468-4841 |
Ronald H Bailey, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-4841 | |
John Ray Kashubeck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-4841 Fax: 937-619-4150 | |
Neal D Harding, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-4841 Fax: 419-462-0500 | |
Benjamin Wendt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-4841 |