| Dr Muhammad Iyad Azrak, | |
|
1107 Rush Ave, Bellefontaine, OH 43311-9488 | |
| (937) 593-3811 | |
| (937) 593-2430 |
| Full Name | Dr Muhammad Iyad Azrak |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 1107 Rush Ave, Bellefontaine, 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 |
|---|---|---|---|
| 1134330079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35.091835 (Ohio) | Primary |
| 207R00000X | Internal Medicine | 35091835 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Mary Rutan Hospital | Bellefontaine, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| J. Terebuh Md Inc | 0749183416 | 2 |
| Mercy Health Physicians Lima Specialty Care Llc | 7012332364 | 229 |
| Entity Name | J. Terebuh Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194744102 PECOS PAC ID: 0749183416 Enrollment ID: O20100301000069 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992034680 PECOS PAC ID: 3678602802 Enrollment ID: O20100909000197 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043572290 PECOS PAC ID: 3779749197 Enrollment ID: O20120730000162 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio - Columbus Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225517014 PECOS PAC ID: 9133479348 Enrollment ID: O20180910002503 |
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Muhammad Iyad Azrak, 1107 Rush Ave, Bellefontaine, OH 43311-9488 Ph: (937) 593-3811 | Dr Muhammad Iyad Azrak, 1107 Rush Ave, Bellefontaine, OH 43311-9488 Ph: (937) 593-3811 |
Annette K Terebuh, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1107 Rush Ave, Bellefontaine, OH 43311 Phone: 937-593-3881 Fax: 937-593-2430 |