| Dr Fredric Howard Itzkowitz, DO | |
|
703 Tyler St, Suite 150, Sandusky, OH 44870-3367 | |
| (419) 625-8722 | |
| (419) 625-8436 |
| Full Name | Dr Fredric Howard Itzkowitz |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 38 Years |
| Location | 703 Tyler St, Sandusky, 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 |
|---|---|---|---|
| 1649266362 | NPI | - | NPPES |
| 0103042 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34005902 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firelands Regional Medical Center | Sandusky, OH | Hospital |
| Bellevue Hospital | Bellevue, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Coast Professional Company, Llc | 6305810201 | 105 |
| Entity Name | North Coast Professional Company, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648210 PECOS PAC ID: 6305810201 Enrollment ID: O20040825001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fredric Howard Itzkowitz, DO Po Box 378, Sandusky, OH 44871-0378 Ph: (419) 626-6161 | Dr Fredric Howard Itzkowitz, DO 703 Tyler St, Suite 150, Sandusky, OH 44870-3367 Ph: (419) 625-8722 |
Neel K Sharma, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-7400 Fax: 419-625-8436 |
Bryan Cass, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 Tyler St Ste 351, Sandusky, OH 44870 Phone: 419-557-5541 Fax: 419-557-5542 |
Dr. Dowzell Medford Swayngim Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 703 Tyler St, Suite 251, Sandusky, OH 44870 Phone: 419-625-0599 Fax: 419-625-3704 |
Dr. Paul Christopher Laffay, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 Tyler St Ste 150, Sandusky, OH 44870 Phone: 419-625-8436 |
Albert Victorio Vargas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 Tyler St, Suite 150, Sandusky, OH 44870 Phone: 419-625-8722 |
Venkat Yalamanchili, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 Tyler St Ste 351, Sandusky, OH 44870 Phone: 419-621-7620 Fax: 419-621-7623 |