| Joseph G Protain, DO | |
|
813 Kentwood Dr, Boardman, OH 44512-5004 | |
| (330) 953-3513 | |
| (330) 953-0313 |
| Full Name | Joseph G Protain |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 25 Years |
| Location | 813 Kentwood Dr, Boardman, 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 |
|---|---|---|---|
| 1083669097 | NPI | - | NPPES |
| 2688846 | Medicaid | OH | |
| P00067987 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34-008446 (Ohio) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 34-008446 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cary Copeland Dpm Inc | 6103898473 | 11 |
| Podiatry Inc | 6507936671 | 5 |
| Foot And Ankle Clinic Of The Virginias Inc | 7911948583 | 10 |
| Foot And Ankle Clinic Of The Virginias Inc | 7911948583 | 10 |
| Foot And Ankle Clinic Of The Virginias Inc | 7911948583 | 10 |
| Entity Name | Cary Copeland Dpm Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760564181 PECOS PAC ID: 6103898473 Enrollment ID: O20040807000146 |
| Entity Name | Podiatry Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871769869 PECOS PAC ID: 6507936671 Enrollment ID: O20110127000791 |
| Entity Name | Foot And Ankle Clinic Of The Virginias Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740227909 PECOS PAC ID: 7911948583 Enrollment ID: O20190410000479 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph G Protain, DO 813 Kentwood Dr, Boardman, OH 44512-5004 Ph: (330) 953-3513 | Joseph G Protain, DO 813 Kentwood Dr, Boardman, OH 44512-5004 Ph: (330) 953-3513 |
Dr. Igor Milosevic, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7641 Market St Ste 2, Boardman, OH 44512 Phone: 330-726-0156 | |
Dr. Nicholas Frank Agnesi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 813 Kentwood Dr, Boardman, OH 44512 Phone: 330-533-1570 Fax: 330-953-2368 | |
Dr. Marie Linda Awad-alexander, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St Ste 205, Boardman, OH 44512 Phone: 330-729-3125 Fax: 330-729-1861 | |
Stephen John Evan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7645 Market St, Suite 200, Boardman, OH 44512 Phone: 330-707-0771 | |
Lance Nicholas Blau, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1897 |