Leo Moysaenko, MD | |
33001 Solon Rd, Solon, OH 44139-2839 | |
(440) 349-2516 | |
Not Available |
Full Name | Leo Moysaenko |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 33001 Solon Rd, Solon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851332944 | NPI | - | NPPES |
0708032 | Medicaid | OH | |
P00222425 | Other | OH | MEDICARE RR-GA |
942460636142 | Other | OH | CARESOURCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35052898 (Ohio) | Primary |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
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Leo Moysaenko, MD 4410 W Ridgewood Dr, Parma, OH 44134-4122 Ph: () - | Leo Moysaenko, MD 33001 Solon Rd, Solon, OH 44139-2839 Ph: (440) 349-2516 |
Robert Eberlein, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33001 Solon Rd, Solon, OH 44139 Phone: 440-349-2516 | |
Elizabeth Carpenter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33001 Solon Rd Ste 115, Solon, OH 44139 Phone: 440-349-4714 Fax: 440-349-2729 | |
Dr. Mitchell Warren Leventhal, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6630 Cummings Ct, Solon, OH 44139 Phone: 440-318-1333 | |
Charles Benson Hurst, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33001 Solon Rd, Solon, OH 44139 Phone: 440-349-2516 | |
Susan Tout, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33001 Solon Rd, Solon, OH 44139 Phone: 440-349-2516 | |
Christopher Robert White, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33001 Solon Rd, Solon, OH 44139 Phone: 440-349-2516 |