Douglas J Potoczak, MD in N Ridgeville, OH

Douglas J Potoczak, MD is a medicare enrolled "Family Medicine" physician in N Ridgeville, Ohio. He went to Wright State University Boonshoft School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Primary Care Practices Inc and his current practice location is 6115 Emerald St, N Ridgeville, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 406-5800.

Douglas J Potoczak is licensed to practice in Ohio (license number 35060432) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710190046.

Contact Information

	Douglas J Potoczak, MD
	6115 Emerald St, N Ridgeville, OH 44039-2047
	(440) 406-5800
	(216) 201-6914

Map and Direction

Physician's Profile

Full Name	Douglas J Potoczak
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	6115 Emerald St, N Ridgeville, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas J Potoczak attended and graduated from Wright State University Boonshoft School Of Medicine in 1989

NPI Data:

NPI Number: 1710190046
Provider Enumeration Date: 05/07/2007
Last Update Date: 12/17/2020

Medicare PECOS Information:

PECOS PAC ID: 7517003841
Enrollment ID: I20100525000688

Medical Identifiers

Medical identifiers for Douglas J Potoczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710190046	NPI	-	NPPES
3025372	Medicaid	OH
0897874	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35060432 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospitals - Elyria Medical Center	Elyria, OH	Hospital
University Hospitals Of Cleveland	Cleveland, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Primary Care Practices Inc	3072417534	940

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas J Potoczak allows following entities to bill medicare on his behalf.

Entity Name	University Primary Care Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas J Potoczak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Douglas J Potoczak, MD Po Box 636643, Cincinnati, OH 45263-6643 Ph: (440) 989-3801	Douglas J Potoczak, MD 6115 Emerald St, N Ridgeville, OH 44039-2047 Ph: (440) 406-5800

Reviews and Comments

Family Medicine Doctors in N Ridgeville, OH

Frank M Hiti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6115 Emerald St, N Ridgeville, OH 44039 Phone: 440-327-7372 Fax: 440-327-0629
Thomas Wagner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34960 Center Ridge Rd, N Ridgeville, OH 44039 Phone: 440-353-3433 Fax: 440-353-3431
Gabriella Palma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34960 Center Ridge Rd, N Ridgeville, OH 44039 Phone: 440-353-3433 Fax: 440-353-3431
James Carroccio, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6115 Emerald St, N Ridgeville, OH 44039 Phone: 440-327-7372 Fax: 440-327-0629

Douglas J Potoczak, MD - Medicare Family Practice in N Ridgeville, OH