Richard A Kucera, MD | |
9500 Mentor Ave, Suite 100, Mentor, OH 44060-8713 | |
(440) 352-4880 | |
(440) 352-3629 |
Full Name | Richard A Kucera |
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Gender | Male |
Speciality | Family Medicine |
Location | 9500 Mentor Ave, Mentor, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326015041 | NPI | - | NPPES |
0596412 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35049005 (Ohio) | Primary |
Entity Name | Lake Hospital System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
Mailing Address | Practice Location Address |
---|---|
Richard A Kucera, MD 9500 Mentor Ave, Suite 100, Mentor, OH 44060-8713 Ph: (440) 352-4880 | Richard A Kucera, MD 9500 Mentor Ave, Suite 100, Mentor, OH 44060-8713 Ph: (440) 352-4880 |
Mark K. Komar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9500 Mentor Ave, Suite 100, Mentor, OH 44060 Phone: 440-352-4880 Fax: 440-352-3629 | |
Marilee Gallagher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-974-4411 Fax: 440-974-4173 | |
Annette Amelia Ciotti, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8300 Tyler Blvd, #300, Mentor, OH 44060 Phone: 440-205-1529 Fax: 440-205-0840 | |
Marc J. Mcnaughton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9500 Mentor Ave, Suite 100, Mentor, OH 44060 Phone: 440-350-4880 Fax: 440-352-3629 | |
Marren J Weber, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 9500 Mentor Avenue, Suite 100, Mentor, OH 44060 Phone: 440-352-4880 Fax: 440-352-3629 | |
Lovette Phillips, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7350 Industrial Park Blvd, Mentor, OH 44060 Phone: 216-732-9480 Fax: 440-942-8431 | |
John Michael Allen, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9500 Mentor Avenue, Suite 100, Mentor, OH 44060 Phone: 440-898-1021 |