| Kevin Kendzierski, MD | |
|
3440 Island Ave, Toledo, OH 43614 | |
| (419) 340-1289 | |
| (419) 972-4203 |
| Full Name | Kevin Kendzierski |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Addiction Medicine |
| Location | 3440 Island Ave, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629053681 | NPI | - | NPPES |
| 104719902 | Medicaid | MI | |
| 2426860 | Medicaid | OH | |
| 605424 | Other | OH | BUCKEYE |
| 000000213037 | Other | OH | ANTHEM |
| 080139052 | Other | OH | RAILROAD MEDICARE |
| 01973 | Other | OH | PARAMOUNT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 35.080641 (Ohio) | Primary |
| 208D00000X | General Practice | 35. 080641 (Ohio) | Secondary |
| Entity Name | Talbot Clinical Services Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245635549 PECOS PAC ID: 9032422860 Enrollment ID: O20150722004310 |
| Entity Name | Ohio Living Palliative Care Greater Toledo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861981656 PECOS PAC ID: 3476803594 Enrollment ID: O20180911000364 |
| Entity Name | Talbot Clinical Services Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053902007 PECOS PAC ID: 9032422860 Enrollment ID: O20220224001104 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Kendzierski, MD 3440 Island Ave, Toledo, OH 43614-4343 Ph: (419) 340-1289 | Kevin Kendzierski, MD 3440 Island Ave, Toledo, OH 43614 Ph: (419) 340-1289 |
Rameez Bhatti, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5555 | |
Dr. Linda M Speer, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5555 Fax: 419-383-3113 | |
Haridas M. Dasani, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 Woodville Rd, Toledo, OH 43605 Phone: 419-729-6234 Fax: 419-517-3092 | |
Paul Alan Schultz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5555 Fax: 419-383-3113 | |
Zahra Aftab, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5614 Fax: 419-383-5549 | |
Mr. Michael James Lisieski, Family Medicine Medicare: Medicare Enrolled Practice Location: 3333 Glendale Ave, Toledo, OH 43614 Phone: 419-383-5502 Fax: 419-383-5515 | |
Monica Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 Sunforest Ct, Suite 227, Toledo, OH 43623 Phone: 419-480-0700 |