East Canton Medical Group is a medicare enrolled primary clinic (Internal Medicine) in East Canton, Ohio. The current practice location for East Canton Medical Group is 113 Cedar St S, East Canton, Ohio. For appointments, you can reach them via phone at
(330) 488-0767. The mailing address for East Canton Medical Group is 113 Cedar St S, Po Box 30170, East Canton, Ohio and phone number is (330) 488-0767.
East Canton Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1033174024. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(330) 488-0767.
Primary Care Clinic Profile
| Full Name | East Canton Medical Group |
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| Speciality | Internal Medicine |
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| Location | 113 Cedar St S, East Canton, Ohio |
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| Authorized Official Name and Position | Amin Youssef Khalil (PRESIDENT) |
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| Authorized Official Contact | 3308779388 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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East Canton Medical Group
113 Cedar St S
Po Box 30170
East Canton
OH 44730-1305
Ph: (330) 488-0767 | East Canton Medical Group
113 Cedar St S
East Canton
OH 44730-1305
Ph: (330) 488-0767 |
NPI Details:
| NPI Number | 1033174024 |
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| Provider Enumeration Date | 04/20/2006 |
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| Last Update Date | 05/02/2012 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8820054307 |
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| Medicare Enrollment ID | O20041207000117 |
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Medical Identifiers
Medical identifiers for East Canton Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033174024 | NPI | - | NPPES |
| 2621201 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
East Canton Medical Group acts as a billing entity for following providers:
| Provider Name | Amin Youssef Khalil |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1700867959
PECOS PAC ID: 0446213417
Enrollment ID: I20041215000074 |
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