| George R Butler Iii, MD | |
|
36000 Euclid Ave, Willoughby, OH 44094-4625 | |
| (440) 953-9600 | |
| Not Available |
| Full Name | George R Butler Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 36000 Euclid Ave, Willoughby, 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 |
|---|---|---|---|
| 1447593769 | NPI | - | NPPES |
| 0132695 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35.141370 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Health | Concord, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Physicians Of Lake County Ltd | 0042444051 | 14 |
| Prospect Urgent Care Llc | 4587096227 | 3 |
| Entity Name | Knox Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
| Entity Name | Ameriwound Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740535988 PECOS PAC ID: 0345498853 Enrollment ID: O20120906000861 |
| Entity Name | Prospect Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760951644 PECOS PAC ID: 4587096227 Enrollment ID: O20191118001948 |
| Mailing Address | Practice Location Address |
|---|---|
| George R Butler Iii, MD 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (855) 687-0618 | George R Butler Iii, MD 36000 Euclid Ave, Willoughby, OH 44094-4625 Ph: (440) 953-9600 |
Mark Lehman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-375-8166 | |
Edmundo R Mandac, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Marc Allen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Vijay Adusumilli, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 | |
Dr. Sofia Teresa Zindel Melgarejo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 | |
Barbara Jordan, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-6203 Fax: 440-953-6202 |