Mario O Brunicardi, MD | |
1720 Ohiohealth Way Fl 2, Ashland, OH 44805-9253 | |
(567) 309-6560 | |
Not Available |
Full Name | Mario O Brunicardi |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 1720 Ohiohealth Way Fl 2, Ashland, 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 |
---|---|---|---|
1245270552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35-070975 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
Riverside Methodist Hospital | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mckibben Enterprises, Llc | 5698167310 | 5 |
Ohiohealth Corporation | 6305758426 | 1940 |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Ohiohealth Regional Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538552468 PECOS PAC ID: 9739496902 Enrollment ID: O20150921001772 |
Entity Name | Mckibben Enterprises, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013689132 PECOS PAC ID: 5698167310 Enrollment ID: O20220110000433 |
Mailing Address | Practice Location Address |
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Mario O Brunicardi, MD Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Mario O Brunicardi, MD 1720 Ohiohealth Way Fl 2, Ashland, OH 44805-9253 Ph: (567) 309-6560 |
Christopher D Boyd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2109 Claremont Ave, Ashland, OH 44805 Phone: 419-289-1331 Fax: 419-289-9496 | |
Julie O Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2111 Claremont Ave, Ashland, OH 44805 Phone: 419-281-5575 Fax: 419-289-1677 | |
Vernon William Vore Ii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1941 Baney Rd S, Ashland Family Practice/samaritan Professional Corp, Ashland, OH 44805 Phone: 419-289-0333 Fax: 419-281-7903 | |
Dr. Dalia Youssef, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Amberwood Pkwy, Ashland, OH 44805 Phone: 567-309-6570 Fax: 567-241-7505 | |
Patrick T Furness, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2109 Claremont Ave, Ashland, OH 44805 Phone: 419-289-1331 Fax: 419-289-9496 | |
Angel R Primm, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1720 Ohiohealth Way Fl 2, Ashland, OH 44805 Phone: 567-309-6560 Fax: 567-309-6579 |