Ted Faull, MD | |
900 Trailwood Dr, Boardman, OH 44512-5007 | |
(330) 726-2575 | |
(330) 921-9319 |
Full Name | Ted Faull |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 900 Trailwood Dr, Boardman, 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 |
---|---|---|---|
1770560724 | NPI | - | NPPES |
2890359 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36082109 (Illinois) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | 35.091967 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Patriot Homecare, Inc | Girard, OH | Home health agency |
Southern Care Youngstown | Austintown, OH | Hospice |
Crossroads Hospice Of Cleveland, Llc | Valley view, OH | Hospice |
St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
East Liverpool City Hospital | East liverpool, OH | Hospital |
Hmhp St Elizabeth Boardman Health Center | Boardman, 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 |
---|---|
Ted Faull, MD 7341 Eisenhower Dr, Youngstown, OH 44512-5900 Ph: (330) 729-8977 | Ted Faull, MD 900 Trailwood Dr, Boardman, OH 44512-5007 Ph: (330) 726-2575 |
Mrs. Debbie Lee Walker, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 Mckay Ct Ste 100, Boardman, OH 44512 Phone: 330-729-8970 Fax: 330-729-8971 | |
Mrs. Nimra Shafiq, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8423 Market Street. Suite 101, Boardman, OH 44512 Phone: 330-729-8700 Fax: 330-729-8701 | |
Thomas Donald Macabobby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St, Ste 101, Boardman, OH 44512 Phone: 330-729-8700 Fax: 330-729-8701 | |
Dr. Michael Theodore Cratsley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St Ste 207, Boardman, OH 44512 Phone: 330-965-5490 Fax: 330-965-5491 | |
Benjamin Robert Brocker, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7341 Eisenhower Dr, Boardman, OH 44512 Phone: 330-726-1138 Fax: 330-726-6128 | |
Dr. Anne Mcpherren Stover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Debartolo Pl, Suite 1650, Boardman, OH 44512 Phone: 330-726-9355 Fax: 330-726-9444 | |
Sameera Rahman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 901 Trailwood Dr, Boardman, OH 44512 Phone: 330-726-3000 Fax: 330-726-2612 |