| Kevin A Zacour, DO | |
|
267 Center St, Seville, OH 44273-8864 | |
| (330) 769-2941 | |
| (330) 769-4804 |
| Full Name | Kevin A Zacour |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 267 Center St, Seville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245206853 | NPI | - | NPPES |
| 0017204180007 | Medicaid | PA | |
| 024351 | Other | PA | MEDICARE ID |
| 0525462 | Medicaid | OH | |
| 4112483 | Other | OH | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS005098L (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 34.003531 (Ohio) | Primary |
| Entity Name | Centerville Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801877048 PECOS PAC ID: 7214837202 Enrollment ID: O20040427000681 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin A Zacour, DO 267 Center St, Seville, OH 44273-8864 Ph: (330) 769-2941 | Kevin A Zacour, DO 267 Center St, Seville, OH 44273-8864 Ph: (330) 769-2941 |
Jeffrey A Burkey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 231 Center St, Seville, OH 44273 Phone: 330-769-4695 Fax: 330-769-4936 | |
Dr. Todd David Houglan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9044 Center St, Seville, OH 44273 Phone: 330-769-2941 Fax: 330-769-4804 |