| Dr Fady S Yacoub, DO | |
|
335 Glessner Ave, Mansfield, OH 44903-2269 | |
| (419) 526-8000 | |
| Not Available |
| Full Name | Dr Fady S Yacoub |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 11 Years |
| Location | 335 Glessner Ave, Mansfield, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467833392 | NPI | - | NPPES |
| 0381430 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 34.014092 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madison Health | London, OH | Hospital |
| Riverside Methodist Hospital | Columbus, OH | Hospital |
| Grant Medical Center | Columbus, OH | Hospital |
| Dublin Methodist Hospital | Dublin, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Management Group Llc | 0143453670 | 43 |
| Post-acute Physicians Of Ohio, Pllc | 5698099752 | 32 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Pain Management Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063831303 PECOS PAC ID: 0143453670 Enrollment ID: O20140616001217 |
| Entity Name | Osup Community Outreach Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
| Entity Name | Post-acute Physicians Of Ohio, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194121616 PECOS PAC ID: 5698099752 Enrollment ID: O20150120000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fady S Yacoub, DO 1776 Woodstead Ct Ste 208, The Woodlands, TX 77380-1480 Ph: (877) 749-7428 | Dr Fady S Yacoub, DO 335 Glessner Ave, Mansfield, OH 44903-2269 Ph: (419) 526-8000 |
Ivan J Music, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1159 Wyandotte Ave, Mansfield, OH 44906 Phone: 419-543-0204 | |
Ali A. Alhimiri, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 419-526-8000 |