| Steven D. Kapetansky Md Llc | |
|
1566 Monmouth Dr Ste 101 Lancaster OH 43130-8048 | |
| (740) 808-8368 | |
| (415) 548-2694 |
| Full Name | Steven D. Kapetansky Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1566 Monmouth Dr Ste 101, Lancaster, Ohio |
| Authorized Official Name and Position | Steven Dan Kapetansky (OWNER) |
| Authorized Official Contact | 7408088368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven D. Kapetansky Md Llc Po Box 536 Granville OH 43023-0536 Ph: (740) 808-8368 | Steven D. Kapetansky Md Llc 1566 Monmouth Dr Ste 101 Lancaster OH 43130-8048 Ph: (740) 808-8368 |
| NPI Number | 1922666320 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 0244565067 |
|---|---|
| Medicare Enrollment ID | O20190716000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922666320 | NPI | - | NPPES |
| 0363927 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven Dan Kapetansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780871343 PECOS PAC ID: 3476733684 Enrollment ID: I20130501000618 |
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