Matthew Mark, MD | |
50 Blaine Ave Ste 2200, Bedford, OH 44146-2709 | |
(440) 232-5400 | |
(440) 232-0084 |
Full Name | Matthew Mark |
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Gender | Male |
Speciality | Family Medicine |
Location | 50 Blaine Ave Ste 2200, Bedford, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881782936 | NPI | - | NPPES |
2191097 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35075459M (Ohio) | Primary |
Entity Name | University Primary Care Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Entity Name | University Hospitals Regional Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336602218 PECOS PAC ID: 3779818638 Enrollment ID: O20190715001865 |
Mailing Address | Practice Location Address |
---|---|
Matthew Mark, MD Po Box 901666, Cleveland, OH 44190-1666 Ph: (440) 232-5400 | Matthew Mark, MD 50 Blaine Ave Ste 2200, Bedford, OH 44146-2709 Ph: (440) 232-5400 |
Selena Mcclain, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 Blaine Ave, Bedford, OH 44146 Phone: 440-735-3900 | |
Deborah Brindza, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 22750 Rockside Rd Ste 210, Bedford, OH 44146 Phone: 216-383-0100 Fax: 216-383-6481 | |
Diane Burgin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 22750 Rockside Rd Ste 210, Bedford, OH 44146 Phone: 216-383-0100 Fax: 216-383-6481 | |
Dr. Arlen Jeffery Rollins, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 Blaine Ave, Suite 2300, Bedford Medical Center, Bedford, OH 44146 Phone: 440-232-0061 |