| Dr Ladislav Fedorko, MD | |
|
1350 W Bagley Rd, Berea, OH 44017-2912 | |
| (440) 816-5188 | |
| Not Available |
| Full Name | Dr Ladislav Fedorko |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 55 Years |
| Location | 1350 W Bagley Rd, Berea, 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 |
|---|---|---|---|
| 1245291913 | NPI | - | NPPES |
| 000000142087 | Other | OH | ANTHEM |
| 5049663 | Other | OH | AETNA |
| 83648 | Other | OH | QUALCHOICE |
| 2076033 | Medicaid | OH | |
| 341908694027 | Other | OH | CARESOURCE |
| F71881 | Other | OH | SUMMACARE |
| 0104797 | Other | OH | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-071881 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest General Health Center | Middleburg heights, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mobile Hyperbaric Centers, Llc | 4082682778 | 12 |
| Entity Name | Mobile Hyperbaric Centers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568410686 PECOS PAC ID: 4082682778 Enrollment ID: O20040921000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ladislav Fedorko, MD Po Box 638269, Cincinnati, OH 45263-8269 Ph: () - | Dr Ladislav Fedorko, MD 1350 W Bagley Rd, Berea, OH 44017-2912 Ph: (440) 816-5188 |
Beverly Diane Williams, APRN, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 205 W Bagley Rd, Berea, OH 44017 Phone: 440-398-8018 Fax: 440-398-8019 | |
Dr. Jerry C Tardio, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 853 W Bagley Rd, Berea, OH 44017 Phone: 440-234-0502 Fax: 440-234-0590 | |
Nicole Christine Troy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 563 W Bagley Rd, 2nd Floor, Berea, OH 44017 Phone: 440-234-0502 Fax: 440-234-0590 | |
David Carl Ludwig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 W Bagley Rd, Berea, OH 44017 Phone: 440-816-5188 Fax: 440-816-5188 |