William J Petersilge, MD | |
1000 Auburn Dr # 210, Beachwood, OH 44122-4317 | |
(216) 844-5595 | |
(216) 844-5522 |
Full Name | William J Petersilge |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 37 Years |
Location | 1000 Auburn Dr # 210, Beachwood, 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 |
---|---|---|---|
1659385359 | NPI | - | NPPES |
738084 | Other | OH | BUCKEYE |
000000221152 | Other | OH | UNISON |
0929106 | Medicaid | OH | |
P00076234 | Other | OH | RAILROAD MEDICARE |
P00358835 | Other | OH | RAILROAD MEDICARE |
0655674 | Other | OH | AETNA |
000000503689 | Other | OH | ANTHEM |
363909 | Other | OH | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | BP1984740 (Ohio) | Secondary |
207X00000X | Orthopaedic Surgery | 35-057863 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest General Home Health | Middleburg heights, OH | Home health agency |
Southwest General Health Center | Middleburg heights, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthowest Ltd | 6901850247 | 5 |
Entity Name | Orthowest Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982603643 PECOS PAC ID: 6901850247 Enrollment ID: O20050309000466 |
Mailing Address | Practice Location Address |
---|---|
William J Petersilge, MD 24701 Euclid Ave, 3rd Floor Billing Services, Euclid, OH 44117-1714 Ph: (216) 844-5595 | William J Petersilge, MD 1000 Auburn Dr # 210, Beachwood, OH 44122-4317 Ph: (216) 844-5595 |
Dr. Avrum I Froimson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 26900 Cedar Rd, Suite 305 South, Beachwood, OH 44122 Phone: 216-839-3734 Fax: 216-839-3727 | |
Mrs. Kimberly Lynn Trutza, APRN Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25501 Chagrin Blvd, Beachwood, OH 44122 Phone: 216-545-4800 | |
Dr. Jinyoung Jeong, M.D.,PH.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 26300 Seville Dr Apt 111, Beachwood, OH 44122 Phone: 216-269-3488 |