- Medicare in Medina, OH

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is a medicare enrolled "Specialist" provider in Medina, Ohio. Their current practice location is 3609 Medina Rd, Medina, Ohio. You can reach out to their office (for appointments etc.) via phone at (330) 722-1313.

is licensed to practice in Ohio (license number 35092551) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1588092621.

Contact Information

3609 Medina Rd,
Medina, OH 44256-8181
(330) 722-1313
(330) 723-3003

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialitySpecialist
Location3609 Medina Rd, Medina, Ohio
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588092621
  • Provider Enumeration Date: 10/29/2013
  • Last Update Date: 03/06/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0345478970
  • Enrollment ID: O20140106000653

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588092621NPI-NPPES
0513797MedicaidOH
2876222MedicaidOH
2931582MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4976 (Ohio)Secondary
174400000XSpecialist 35048832 (Ohio)Secondary
174400000XSpecialist 35092551 (Ohio)Primary
332B00000XDurable Medical Equipment & Medical Supplies (Ohio)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLisa Mt Wiseman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891790531
PECOS PAC ID: 1456363076
Enrollment ID: I20060626000083
Provider NameAndrew A Esposito
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1962618249
PECOS PAC ID: 3072676436
Enrollment ID: I20090112000007
Provider NameAngelica Polizzi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215550322
PECOS PAC ID: 6305261025
Enrollment ID: I20200729000281

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3609 Medina Rd,
Medina, OH 44256-8181

Ph: (330) 722-1313
3609 Medina Rd,
Medina, OH 44256-8181

Ph: (330) 722-1313

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.