Eveline Rusdianto Klenotic, DO, FACS in Canton, OH

Eveline Rusdianto Klenotic, DO, FACS is a medicare enrolled "Surgery" physician in Canton, Ohio. She went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2011 and has 15 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Ohio Physician Professional Corporation and her current practice location is 2600 Sixth St Sw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 344-6000.

Eveline Rusdianto Klenotic is licensed to practice in Ohio (license number 34.011721) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801185541.

Contact Information

	Eveline Rusdianto Klenotic, DO, FACS
	2600 Sixth St Sw, Canton, OH 44710-1702
	(330) 344-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Eveline Rusdianto Klenotic
Gender	Female
Speciality	General Surgery
Experience	15 Years
Location	2600 Sixth St Sw, Canton, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Eveline Rusdianto Klenotic attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2011

NPI Data:

NPI Number: 1801185541
Provider Enumeration Date: 04/04/2011
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 0446548093
Enrollment ID: I20161013001706

Medical Identifiers

Medical identifiers for Eveline Rusdianto Klenotic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801185541	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	E-15091 (Arkansas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Ohio)	Secondary
208600000X	Surgery	34.011721 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aultman Hospital	Canton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ohio Physician Professional Corporation	2668406059	116

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eveline Rusdianto Klenotic allows following entities to bill medicare on her behalf.

Entity Name	Lake Hospital System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963

Entity Name	Ohio Physician Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417016973 PECOS PAC ID: 2668406059 Enrollment ID: O20050925000062

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eveline Rusdianto Klenotic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Eveline Rusdianto Klenotic, DO, FACS Po Box 80690, Canton, OH 44708-0690 Ph: (330) 363-7444	Eveline Rusdianto Klenotic, DO, FACS 2600 Sixth St Sw, Canton, OH 44710-1702 Ph: (330) 344-6000

Reviews and Comments

Surgery Doctors in Canton, OH

James Scott Young, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2600 6 St Sw, Aultman Hospital, Canton, OH 44710 Phone: 330-452-9911 Fax: 330-588-4717
Dean W Borth, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2600 Tuscarawas St W Ste 600, Canton, OH 44708 Phone: 330-453-4300
Keshav Tandav Magge, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-499-2209
Kirby L Sweitzer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1330 Mercy Dr Nw, Suite 319, Canton, OH 44708 Phone: 330-580-4706 Fax: 330-580-4707
Todd A Meyerhoefer, MD Surgery Medicare: Medicare Enrolled Practice Location: 2600 Tuscarawas St W, Ste 620, Canton, OH 44708 Phone: 330-455-8000 Fax: 330-455-6006
Joseph A Saadey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W, Ste 620, Canton, OH 44708 Phone: 330-455-8000 Fax: 330-455-6006
Dr. Bireswar Patnaik, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4190 Holiday St Nw, Canton, OH 44718 Phone: 330-492-9011 Fax: 330-492-8750

Eveline Rusdianto Klenotic, DO, FACS - Medicare General Surgery in Canton, OH