| Dr Gregory Paul Kezele, MD | |
|
3737 Park East Dr Ste 109, Beachwood, OH 44122-4329 | |
| (216) 464-7333 | |
| (216) 464-2696 |
| Full Name | Dr Gregory Paul Kezele |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 3737 Park East Dr Ste 109, Beachwood, 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 |
|---|---|---|---|
| 1972563997 | NPI | - | NPPES |
| 000000339410 | Other | OH | ANTHEM |
| 2255705 | Medicaid | OH | |
| 80507 | Other | OH | QUALCHOICE |
| 9379701 | Other | OH | GROUP MEDICARE PTAN |
| DO6570 | Other | OH | GROUP MEDICARE RAILROAD PTAN |
| 264200000 | Other | OH | DEPT OF LABOR |
| H152671 | Other | OH | MEDICARE INDIVIDUAL PTAN |
| P01371818 | Other | OH | MEDICARE RAILROAD INDIVIDUAL PTAN |
| 264200000 | Other | OH | FEDERAL BLACK LUNG |
| 341425870042 | Other | OH | MEDICAL MUTUAL OF OHIO |
| 6600162 | Other | OH | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-057308 (Ohio) | Secondary |
| 202K00000X | Phlebology | 35057308 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Health | Concord, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Hillcrest Hospital | Mayfield heights, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gregory P Kezele Md Llc | 3072992130 | 2 |
| Parker Skin And Aesthetic Clinic Inc | 4587614813 | 9 |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Entity Name | Northeast Ohio Vascular Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578662102 PECOS PAC ID: 2961452305 Enrollment ID: O20050125000019 |
| Entity Name | Parker Skin & Aesthetic Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609894575 PECOS PAC ID: 4587614813 Enrollment ID: O20050125000580 |
| Entity Name | Gregory P Kezele Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821728478 PECOS PAC ID: 3072992130 Enrollment ID: O20220620001493 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Paul Kezele, MD 3737 Park East Dr Ste 109, Beachwood, OH 44122-4329 Ph: (216) 464-7333 | Dr Gregory Paul Kezele, MD 3737 Park East Dr Ste 109, Beachwood, OH 44122-4329 Ph: (216) 464-7333 |