| Dr Jennifer L Popovsky, MD | |
|
1133 Medina Rd Ste 100, Medina, OH 44256-5913 | |
| (330) 239-4350 | |
| (330) 239-4584 |
| Full Name | Dr Jennifer L Popovsky |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 30 Years |
| Location | 1133 Medina Rd Ste 100, Medina, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952307324 | NPI | - | NPPES |
| 070015200 | Other | OH | MEDICARE RAILROAD |
| 2190785 | Medicaid | OH | |
| 9186055 | Other | OH | MEDICARE GROUP LEGACY NUM |
| 9186053 | Other | OH | MEDICARE GROUP LEGACY NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 35076146 P (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatologic Surgery Center Of Northeast Ohio Inc | 8729245477 | 4 |
| Entity Name | Dermatologic Surgery Center Of Northeast Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205104601 PECOS PAC ID: 8729245477 Enrollment ID: O20120207000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer L Popovsky, MD 1133 Medina Rd Ste 100, Medina, OH 44256-5913 Ph: (330) 239-4350 | Dr Jennifer L Popovsky, MD 1133 Medina Rd Ste 100, Medina, OH 44256-5913 Ph: (330) 239-4350 |
Dr. Wyatt Andrasik, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5783 Wooster Pike, Medina, OH 44256 Phone: 330-725-0569 | |
Dr. Helen M Torok, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5783 Wooster Pike, Medina, OH 44256 Phone: 330-725-0569 Fax: 330-662-0258 | |
Dr. Matthew Stephen Reedy, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5783 Wooster Pike, Medina, OH 44256 Phone: 330-725-0569 Fax: 330-662-0258 | |
Dr. Carl Barrick, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1133 Medina Rd Ste 100, Medina, OH 44256 Phone: 330-239-4350 Fax: 330-239-4584 | |
Bryan Daniel Baillis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5779 Wooster Pike, Medina, OH 44256 Phone: 330-725-0569 Fax: 330-662-0258 | |
Ms. Gabriella Catherine Furfari, MPAS, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5783 Wooster Pike, Medina, OH 44256 Phone: 330-725-0569 Fax: 330-662-0258 | |
Mrs. Anya Enriquez, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5783 Wooster Pike, Medina, OH 44256 Phone: 330-725-0569 Fax: 330-725-2099 |