Tracy L Neuendorf, DO | |
1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | |
(330) 629-2888 | |
(330) 629-8940 |
Full Name | Tracy L Neuendorf |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 42 Years |
Location | 1011 Boardman Canfield Rd, Youngstown, Ohio |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275509275 | NPI | - | NPPES |
000403561 | Other | OH | HIGHMARK BC/BS |
0010273680005 | Medicaid | PA | |
127674 | Other | OH | ANTHEM |
0601834 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LA0401X | Anesthesiology - Addiction Medicine | 34.003509 (Ohio) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 34-00-3509-N (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mh St Joseph Warren Hospital | Warren, OH | Hospital |
St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Doctors Pain Center, Llc | 8426036450 | 6 |
Doctors Pain Center, Llc | 8426036450 | 6 |
Entity Name | Family Recovery Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821053042 PECOS PAC ID: 0446273304 Enrollment ID: O20060106000437 |
Entity Name | Doctors Pain Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386698215 PECOS PAC ID: 8426036450 Enrollment ID: O20180914001443 |
Mailing Address | Practice Location Address |
---|---|
Tracy L Neuendorf, DO 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 Ph: (330) 629-2888 | Tracy L Neuendorf, DO 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 Ph: (330) 629-2888 |
Dr. Charles Daniel Cammock, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
James A Bachmeier, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3622 Belmont Ave, Suite 1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 | |
Bijo Jos Thomas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Frederick A. Peachman, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Yvette R Walker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-1000 | |
Dr. Heather C Eck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Youngstown, OH 44512 Phone: 330-729-2929 Fax: 330-286-5396 | |
Dr. Raymond George Malackany, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3622 Belmont Ave, Suite1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 |