| Dr Pankaj Chand Gupta, MD | |
|
5890 Mayfair Rd, North Canton, OH 44720-1547 | |
| (330) 305-2200 | |
| (330) 305-2210 |
| Full Name | Dr Pankaj Chand Gupta |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 23 Years |
| Location | 5890 Mayfair Rd, North Canton, 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 |
|---|---|---|---|
| 1609929371 | NPI | - | NPPES |
| 0069769 | Medicaid | OH | |
| P01168884 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 227967 (Massachusetts) | Secondary |
| 207W00000X | Ophthalmology | 35-099606 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Blanchard Valley Hospital | Findlay, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Eye Care, Inc. | 6103850581 | 10 |
| Entity Name | Roholt Vision Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700819455 PECOS PAC ID: 0143204388 Enrollment ID: O20040616000000 |
| Entity Name | Spectrum Eye Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821095381 PECOS PAC ID: 6103850581 Enrollment ID: O20050925000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pankaj Chand Gupta, MD 5890 Mayfair Rd, North Canton, OH 44720-1547 Ph: (330) 305-2200 | Dr Pankaj Chand Gupta, MD 5890 Mayfair Rd, North Canton, OH 44720-1547 Ph: (330) 305-2200 |
David W Nelson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6407 Frank Ave Nw, North Canton, OH 44720 Phone: 330-966-1111 Fax: 330-966-8333 | |
Thomas A. Wohl, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5890 Mayfair Rd, North Canton, OH 44720 Phone: 330-305-2200 Fax: 330-305-2210 | |
Lawrence Ronning, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1350 Fax: 330-305-5021 | |
Dr. Jason M Young, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5890 Mayfair Rd, North Canton, OH 44720 Phone: 330-305-2200 | |
Laurence J Karns, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6407 Frank Ave Nw, North Canton, OH 44720 Phone: 330-966-1111 Fax: 330-966-8333 |