| John J Baniewicz, MD | |
|
9485 Mentor Ave, Ste 210, Mentor, OH 44060 | |
| (440) 205-5835 | |
| (440) 205-5735 |
| Full Name | John J Baniewicz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 9485 Mentor Ave, Mentor, 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 |
|---|---|---|---|
| 1285740530 | NPI | - | NPPES |
| 0854160 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-058500 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital Home Care Services, Inc | Warrensville hts, OH | Home health agency |
| Senior Independence | Willoughby, OH | Hospice |
| Lake Health | Concord, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Ohio Living Breckenridge Village | Willoughby, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Hospital System, Inc. | 6002713922 | 95 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| John J Baniewicz, MD 36000 Euclid Ave, Mso, Willoughby, OH 44094 Ph: (440) 953-6082 | John J Baniewicz, MD 9485 Mentor Ave, Ste 210, Mentor, OH 44060 Ph: (440) 205-5835 |
Dr. Olusegun Ademola Ogunlesi, M.D, M.H.S Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8587 East Avenue, Mentor, OH 44060 Phone: 440-867-4800 Fax: 866-711-5107 | |
Shermeen Taj Farukhi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9485 Mentor Ave Ste 210, Mentor, OH 44060 Phone: 440-205-5836 Fax: 440-205-5735 | |
Dr. Keith Alan Friedenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8877 Mentor Ave, Mentor, OH 44060 Phone: 440-205-1225 Fax: 440-205-1275 | |
Dr. Aaron E Feldman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7200 Mentor Ave, Mentor, OH 44060 Phone: 440-942-5400 Fax: 440-942-9055 | |
Dr. David Alan Bowe, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7956 Tyler Blvd, Mentor, OH 44060 Phone: 440-255-4455 Fax: 440-255-4487 | |
Dr. Brian Edward Burtch, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Tyler Blvd, Suite 102, Mentor, OH 44060 Phone: 216-266-5000 | |
John Barnett, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7350 Industrial Park Blvd, Mentor, OH 44060 Phone: 216-732-9480 Fax: 440-942-8431 |