Shawna Koprucki, MD | |
4694 Belmont Ave, Youngstown, OH 44505-1012 | |
(330) 480-7655 | |
(330) 759-3851 |
Full Name | Shawna Koprucki |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 16 Years |
Location | 4694 Belmont Ave, Youngstown, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093969735 | NPI | - | NPPES |
0056982 | Medicaid | OH | |
H245561 | Other | OH | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD441533 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 35.097076 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Youngstown, Llc | 9234318270 | 115 |
Entity Name | Mercy Health Physicians Youngstown, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
Mailing Address | Practice Location Address |
---|---|
Shawna Koprucki, MD 4694 Belmont Ave, Youngstown, OH 44505-1012 Ph: (330) 480-7655 | Shawna Koprucki, MD 4694 Belmont Ave, Youngstown, OH 44505-1012 Ph: (330) 480-7655 |
Mrs. Natasha Marie Lujan, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7106 Ron Park Pl, Youngstown, OH 44512 Phone: 330-716-5546 | |
Harold Todd Kepler, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Belmont Ave Ste 19b, Youngstown, OH 44505 Phone: 330-222-4030 | |
Terry A. Puet, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 Parmalee Ave Ste 310, Youngstown, OH 44510 Phone: 330-539-4319 | |
Dr. George Fon Tabi Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 404-849-1774 | |
Gabriel Murillo Nader, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2031 Belmont Ave, Youngstown, OH 44505 Phone: 330-480-3605 Fax: 330-480-2948 | |
Randall J Hartwig, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6426 Market St, Workmed, Youngstown, OH 44512 Phone: 330-884-2025 |