| Dr Mark John Piacentini, MD | |
|
102 E Water St, Prospect, OH 43342 | |
| (740) 494-2624 | |
| (740) 494-9013 |
| Full Name | Dr Mark John Piacentini |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 102 E Water St, Prospect, 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 |
|---|---|---|---|
| 1568478626 | NPI | - | NPPES |
| 0669174 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35054820 (Ohio) | Primary |
| 173000000X | Legal Medicine | 35054820P (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home Ii | Columbus, OH | Home health agency |
| Queen City Hospice And Palliative Care | Cincinnati, OH | Hospice |
| Kindred Hospice | Mount vernon, OH | Hospice |
| Wyandot Memorial Hospital | Upper sandusky, OH | Hospital |
| Marion General Hospital | Marion, OH | Hospital |
| Presidential Post-acute | Marion, OH | Nursing home |
| Marion Pointe | Marion, OH | Nursing home |
| Fairhaven Community | Upper sandusky, OH | Nursing home |
| Harding Pointe | Marion, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prospect Family Medicine, Inc. | 8527251313 | 3 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Prospect Family Medicine, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487895967 PECOS PAC ID: 8527251313 Enrollment ID: O20101025001403 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark John Piacentini, MD 102 E Water St, Prospect, OH 43342 Ph: (740) 494-2624 | Dr Mark John Piacentini, MD 102 E Water St, Prospect, OH 43342 Ph: (740) 494-2624 |