Ms Samantha L Prochaska, AA | |
4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 | |
(330) 499-5700 | |
(330) 498-4229 |
Full Name | Ms Samantha L Prochaska |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 5 Years |
Location | 4665 Douglas Cir Nw Ste 100, Canton, 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 |
---|---|---|---|
1902465883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 67.000348 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
University Hospitals Of Cleveland | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Primary Care Practices Inc | 3072417534 | 930 |
University Hospitals Medical Group Inc | 4789682493 | 1542 |
Entity Name | University Primary Care Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Entity Name | Ohio Anesthesia Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Ms Samantha L Prochaska, AA 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 Ph: (330) 499-5700 | Ms Samantha L Prochaska, AA 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 Ph: (330) 499-5700 |
Jenna Staikoff, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Jonathan S Eberlein, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4665 Douglas Cir Nw Ste 100, Canton, OH 44718 Phone: 330-499-5700 | |
Mark Tatum, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Colleen R Robson, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111 | |
Olesya Rabosyuk, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-498-1000 | |
Benjamin W. Falkenberg, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718 Phone: 330-656-3100 | |
Mrs. Leeann Jensen, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 |