Brian J Novack Dpm | |
29630 Euclid Ave, Wickliffe, OH 44092-1829 | |
(440) 944-6665 | |
(440) 944-6672 |
Full Name | Brian J Novack Dpm |
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Type | Facility |
Speciality | Podiatrist |
Location | 29630 Euclid Ave, Wickliffe, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134273428 | NPI | - | NPPES |
0111152 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 36002998 (Ohio) | Primary |
Provider Name | Brian Novack |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598762924 PECOS PAC ID: 4284795311 Enrollment ID: I20081209000127 |
Mailing Address | Practice Location Address |
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Brian J Novack Dpm 29630 Euclid Ave, Wickliffe, OH 44092-1829 Ph: (440) 944-6665 | Brian J Novack Dpm 29630 Euclid Ave, Wickliffe, OH 44092-1829 Ph: (440) 944-6665 |
Brian J Novack Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29630 Euclid Ave, Wickliffe, OH 44092 Phone: 440-944-6665 Fax: 440-944-6672 | |
Cornerstone Podiatry Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 29127 Euclid Ave, Wickliffe, OH 44092 Phone: 216-731-3370 | |
Dr. Brian Novack, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 29630 Euclid Ave, Wickliffe, OH 44092 Phone: 440-944-6665 | |
Dr. Sina Benjamin Esraeilian, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1491 Lloyd Rd, Wickliffe, OH 44092 Phone: 440-585-1616 |