Skill Doc 101, Llc - Medicare Primary Care in Canton, OH

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Skill Doc 101, Llc is a medicare enrolled primary clinic (Internal Medicine) in Canton, Ohio. The current practice location for Skill Doc 101, Llc is 4580 Stephens Cir Nw Ste 202, Canton, Ohio. For appointments, you can reach them via phone at (330) 754-4431. The mailing address for Skill Doc 101, Llc is 4580 Stephens Cir Nw Ste 202, Canton, Ohio and phone number is (330) 754-4431.

Skill Doc 101, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043647803. 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) 754-4431.

Contact Information

Skill Doc 101, Llc
4580 Stephens Cir Nw Ste 202
Canton
OH 44718-3645
(330) 754-4431
(330) 244-8839

Map and Direction


Primary Care Clinic Profile

Full NameSkill Doc 101, Llc
SpecialityInternal Medicine
Location4580 Stephens Cir Nw Ste 202, Canton, Ohio
Authorized Official Name and PositionBrian Mcclain (CEO)
Authorized Official Contact3307544431
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Skill Doc 101, Llc
4580 Stephens Cir Nw Ste 202
Canton
OH 44718-3645

Ph: (330) 754-4431		Skill Doc 101, Llc
4580 Stephens Cir Nw Ste 202
Canton
OH 44718-3645

Ph: (330) 754-4431

NPI Details:

NPI Number1043647803
Provider Enumeration Date10/10/2013
Last Update Date10/25/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1658509369
Medicare Enrollment IDO20131231001912

Medical Identifiers

Medical identifiers for Skill Doc 101, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043647803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal 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. Skill Doc 101, Llc acts as a billing entity for following providers:
Provider NameBrian W Mcclain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821038043
PECOS PAC ID: 4789675422
Enrollment ID: I20040520001172
Provider NameAruna P Rao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285620252
PECOS PAC ID: 8527044783
Enrollment ID: I20040628000987
Provider NameThomas S Lehner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477536258
PECOS PAC ID: 7618929175
Enrollment ID: I20050214000381
Provider NamePaul T Scheatzle
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1447254321
PECOS PAC ID: 9234172214
Enrollment ID: I20070727000068
Provider NameSuzette Elaine Lorson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487832390
PECOS PAC ID: 0446329858
Enrollment ID: I20080527000088
Provider NameMichael Tirmonia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578659025
PECOS PAC ID: 1658406723
Enrollment ID: I20100315000313
Provider NameSteve K Nam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174788061
PECOS PAC ID: 8820277429
Enrollment ID: I20110128000393
Provider NameRichard W Jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841442803
PECOS PAC ID: 7810161718
Enrollment ID: I20111110000274
Provider NameAbby Hanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215351556
PECOS PAC ID: 6002049210
Enrollment ID: I20140423001476
Provider NameJacqueline Leigh Croston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245601103
PECOS PAC ID: 6002126182
Enrollment ID: I20151102000536
Provider NameJames Franz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467896100
PECOS PAC ID: 9133357387
Enrollment ID: I20151112002733
Provider NameTimothy J Griffiths
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215380019
PECOS PAC ID: 7517246325
Enrollment ID: I20161118001583
Provider NameBenjamin Mcavinew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427599091
PECOS PAC ID: 8426335811
Enrollment ID: I20170512001283
Provider NameJessica L Coleman
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1609166479
PECOS PAC ID: 4688989775
Enrollment ID: I20170927004295
Provider NameBeth Ann Griffith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427551225
PECOS PAC ID: 2365706983
Enrollment ID: I20180508001438
Provider NameErin Lynn Metcalf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083192330
PECOS PAC ID: 2466703384
Enrollment ID: I20180914002457
Provider NameFalisha L Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518300508
PECOS PAC ID: 7911266168
Enrollment ID: I20181127002490
Provider NameElizabeth Trent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265934061
PECOS PAC ID: 5991039125
Enrollment ID: I20190621002536
Provider NameJustin Thomas Lonca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972155307
PECOS PAC ID: 3870823438
Enrollment ID: I20190924002552
Provider NameMeredith Michael Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578021945
PECOS PAC ID: 1759611296
Enrollment ID: I20190925002337
Provider NameJennifer Jonell Mcclain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609407881
PECOS PAC ID: 0648408369
Enrollment ID: I20200225003015
Provider NameJulie Michelle White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609407170
PECOS PAC ID: 4284062845
Enrollment ID: I20200312001760
Provider NameStacey Wasem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831724640
PECOS PAC ID: 8729409370
Enrollment ID: I20200605002292
Provider NameJulie Angel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730727215
PECOS PAC ID: 8426470469
Enrollment ID: I20200622001444
Provider NameAshley Marie Mcavinew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902406119
PECOS PAC ID: 0648682161
Enrollment ID: I20201207001814
Provider NameDanielle Nicole King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154901155
PECOS PAC ID: 2567870298
Enrollment ID: I20210419002624
Provider NameTamas Alexander Ridzi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891301859
PECOS PAC ID: 2567871502
Enrollment ID: I20210504002195
Provider NameDeborah S Swinehart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396305090
PECOS PAC ID: 9931518792
Enrollment ID: I20210506002001
Provider NameDustin Scott Harder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366027922
PECOS PAC ID: 3779729959
Enrollment ID: I20210506002777
Provider NameAbigail Elizabeth Burch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326622093
PECOS PAC ID: 0143629303
Enrollment ID: I20210520002444
Provider NameKatie Lynn Hood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134794274
PECOS PAC ID: 9830598200
Enrollment ID: I20210604002097
Provider NameRobert Vincent Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548883564
PECOS PAC ID: 1759789225
Enrollment ID: I20211013003193
Provider NameRachel Saleh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629795158
PECOS PAC ID: 5496123010
Enrollment ID: I20221201001486
Provider NameCourtney Renee Majors
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992433213
PECOS PAC ID: 0648642520
Enrollment ID: I20230203000204
Provider NameAric William Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770280281
PECOS PAC ID: 6608249164
Enrollment ID: I20230302002470
Provider NameTaylor Nicole Holcomb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770289969
PECOS PAC ID: 4486027976
Enrollment ID: I20230303000441
Provider NameCristina Dawn Ilijevski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154023315
PECOS PAC ID: 2163897232
Enrollment ID: I20230404001328
Provider NameJamie Perrine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033813936
PECOS PAC ID: 4183099724
Enrollment ID: I20230412001335
Provider NameSummer Rose Burns-allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922756311
PECOS PAC ID: 6800251588
Enrollment ID: I20230502002552
Provider NamePaige Woolf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891488920
PECOS PAC ID: 4082075767
Enrollment ID: I20230727001361
Provider NameNicole M Adams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922382530
PECOS PAC ID: 3274855929
Enrollment ID: I20231016002305
Provider NameJaymi Renee Doerfler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962184697
PECOS PAC ID: 5890140503
Enrollment ID: I20231016003264
Provider NameAmanda Mckinney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821858432
PECOS PAC ID: 7911345137
Enrollment ID: I20240409000229
Provider NameMadeline Hudak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770103665
PECOS PAC ID: 8820410624
Enrollment ID: I20240530001305

Reviews and Comments


Internal Medicine in Canton, OH

Diabetes & Endocrinology Associates Of Stark County Incorporated
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4565 Dressler Rd Nw, Suite #111, Canton, OH 44718
Phone: 330-493-0013    Fax: 330-493-6973
Canton Community Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2725 Lincoln St E, Canton, OH 44707
Phone: 330-454-2000    Fax: 330-454-7284
Premier Health And Wellness Center, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4774 Munson St Nw, Canton, OH 44718
Phone: 330-754-4431    Fax: 330-777-5499
Guiding Paths
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6545 Market Ave N, Canton, OH 44721
Phone: 330-510-4533    
Pinnacle Wound Providers, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4580 Stephens Cir Nw Ste 202, Canton, OH 44718
Phone: 330-754-4431    Fax: 330-244-8839
Apex Physical Medicine, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4883 Dressler Rd Nw Ste 100, Canton, OH 44718
Phone: 330-479-9193    Fax: 330-479-9165

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.