| Dr Mark David Bezbatchenko, MD | |
| 
					470 Silver Ln Ste B, Gahanna, OH 43230-4575  | |
| (614) 933-0980 | |
| (614) 933-0334 | 
| Full Name | Dr Mark David Bezbatchenko | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 470 Silver Ln Ste B, Gahanna, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710942818 | NPI | - | NPPES | 
| 0499006 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 35141072 (Ohio) | Primary | 
| Entity Name | Childrens Community Practices Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386031896 PECOS PAC ID: 5092047084 Enrollment ID: O20191023003502  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mark David Bezbatchenko, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (147) 222-0006  | Dr Mark David Bezbatchenko, MD 470 Silver Ln Ste B, Gahanna, OH 43230-4575 Ph: (614) 933-0980  | 
Katelyn Carlson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1085 Beecher Xing N, Gahanna, OH 43230 Phone: 614-741-8300 Fax: 614-741-8271  | |
Sean Michael Vellucci, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5175 Morse Rd, Suite 400, Gahanna, OH 43230 Phone: 614-741-4411 Fax: 614-741-4412  | |
Jennifer Killion Overbey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1085 Beecher Xing N Ste A, Gahanna, OH 43230 Phone: 614-741-8300 Fax: 614-741-8271  | |
Megan A King, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 470 Silver Ln Ste B, Gahanna, OH 43230 Phone: 614-933-0980  | |
Stephen M Canowitz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 314 Agler Rd, Gahanna, OH 43230 Phone: 614-944-9029  | |
Dr. Richard A Kern, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 470 Silver Lane, Ste B, Gahanna, OH 43230 Phone: 614-933-0980 Fax: 614-933-0334  | |
Kathleen A. Costlow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1085 Beecher Xing N, Suite A, Gahanna, OH 43230 Phone: 614-741-8300 Fax: 614-741-8271  |