| Jill K Peysha, | |
|
5105 Som Center Rd #107, Willoughby, OH 44094 | |
| (440) 953-5712 | |
| (440) 953-5713 |
| Full Name | Jill K Peysha |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 5105 Som Center Rd #107, Willoughby, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295155786 | NPI | - | NPPES |
| 35.146110 | Other | OH | OHIO ELICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101269063 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Health | Concord, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 972 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| 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 | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill K Peysha, 1250 E. Marshall St, Box 980135, Richmond, VA 23298 Ph: (804) 828-7391 | Jill K Peysha, 5105 Som Center Rd #107, Willoughby, OH 44094 Ph: (440) 953-5712 |
William J Petraiuolo, MD Surgery Medicare: Medicare Enrolled Practice Location: 36060 Euclid Ave, Suite 204, Willoughby, OH 44094 Phone: 440-602-6553 Fax: 440-602-6566 | |
Dr. Mark Goldberg, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 36001 Euclid Ave, Suite B-6, Willoughby, OH 44094 Phone: 440-953-2500 Fax: 440-953-2772 | |
Aviv Ben-meir, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 36100 Euclid Ave Ste 170, Willoughby, OH 44094 Phone: 440-602-6737 Fax: 440-942-0316 | |
Boris Vinogradsky, MD Surgery Medicare: Medicare Enrolled Practice Location: 36100 Euclid Ave Ste 330b, Willoughby, OH 44094 Phone: 440-953-8055 Fax: 440-953-0242 | |
Dr. Sean Mcphillips, Surgery Medicare: Not Enrolled in Medicare Practice Location: 5734 Amber Ct, Willoughby, OH 44094 Phone: 216-215-8377 | |
Richard Stein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5105 Som Center Road, Suite 107, Willoughby, OH 44094 Phone: 440-953-5712 Fax: 440-953-5713 |