Robert Gerard Idzakovich, FNP | |
2511 Grandview Ave, Portsmouth, OH 45662-2770 | |
(740) 464-8125 | |
Not Available |
Full Name | Robert Gerard Idzakovich |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 2511 Grandview Ave, Portsmouth, 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 |
---|---|---|---|
1275994048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN391062 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holzer Medical Center | Gallipolis, OH | Hospital |
Holzer Medical Center Jackson | Jackson, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Entity Name | Apogee Medical Group Ohio Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477500999 PECOS PAC ID: 8224082292 Enrollment ID: O20050311000733 |
Mailing Address | Practice Location Address |
---|---|
Robert Gerard Idzakovich, FNP 2511 Grandview Ave, Portsmouth, OH 45662-2770 Ph: (740) 464-8125 | Robert Gerard Idzakovich, FNP 2511 Grandview Ave, Portsmouth, OH 45662-2770 Ph: (740) 464-8125 |
Kevin Wolfe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Scioto Trl, Ste 200, Portsmouth, OH 45662 Phone: 740-353-8100 Fax: 740-353-8908 | |
Elizabeth L Mathis, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-365-7290 Fax: 740-356-7938 | |
Mrs. Crystal Marie Jordan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-1010 | |
Lynsey Arey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 Fax: 740-354-3254 | |
Michael L Purdy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7972 | |
Mrs. Stephanie Joan Lang, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-7702 Fax: 740-353-1662 | |
Mr. Joseph David Augustin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7938 |