| Jerome M Privitera Dpm, Inc. | |
|
9485 Mentor Ave, Suite 200, Mentor, OH 44060-8723 | |
| (440) 205-5878 | |
| (440) 205-5875 |
| Full Name | Jerome M Privitera Dpm, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 9485 Mentor Ave, Mentor, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700969102 | NPI | - | NPPES |
| 2310654 | Medicaid | OH | |
| 2310636 | Medicaid | OH | |
| 2310663 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | OH001535 (Ohio) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | OH002454 (Ohio) | Primary |
| Provider Name | Jerome M Privitera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639173628 PECOS PAC ID: 2769442540 Enrollment ID: I20110325000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome M Privitera Dpm, Inc. 9485 Mentor Ave, Suite 200, Mentor, OH 44060-8723 Ph: (440) 205-5878 | Jerome M Privitera Dpm, Inc. 9485 Mentor Ave, Suite 200, Mentor, OH 44060-8723 Ph: (440) 205-5878 |
Mr. Stephen John Frania, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7482 Center St, Suite 100, Mentor, OH 44060 Phone: 440-357-8418 Fax: 440-255-9400 | |
Dr. Laurence W Spivack, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9330 Hidden Glen Dr, Mentor, OH 44060 Phone: 440-487-3947 Fax: 513-858-7827 | |
Lake County Foot & Ankle Associates, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8334 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-357-8418 Fax: 440-255-9400 | |
Kevin Bilant, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8808 Tyler Blvd, Mentor, OH 44060 Phone: 440-255-6222 | |
Dr. Jeffrey C Lupica, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9500 Mentor Ave, Suite 210, Mentor, OH 44060 Phone: 440-352-1711 | |
Robert James Rosenstein, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7230 Mentor Ave, Mentor, OH 44060 Phone: 440-946-5858 Fax: 440-918-4870 | |
Dr. Tremaine Booth Oatman, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8250 Winthrop Ct, Mentor, OH 44060 Phone: 440-974-1775 Fax: 440-974-9572 |