| Madeline Hudak, | |
|
236 3rd St Sw, Canton, OH 44702-1607 | |
| (330) 754-4431 | |
| (330) 244-8839 |
| Full Name | Madeline Hudak |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Hospice And Palliative Medicine |
| Location | 236 3rd St Sw, Canton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770103665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 58.031728 (Ohio) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 34.016478 (Ohio) | Primary |
| Entity Name | Pinnacle Care Providers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578799417 PECOS PAC ID: 1850437948 Enrollment ID: O20091002000365 |
| Entity Name | Skill Doc 101 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043647803 PECOS PAC ID: 1658509369 Enrollment ID: O20131231001912 |
| Entity Name | Pai Participant 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20200402000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Hudak, 236 3rd St Sw, Canton, OH 44702-1607 Ph: (330) 754-4431 | Madeline Hudak, 236 3rd St Sw, Canton, OH 44702-1607 Ph: (330) 754-4431 |
Todd L Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718 Phone: 330-489-1386 Fax: 330-489-1258 | |
John C Tsai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718 Phone: 330-489-1386 Fax: 330-489-1258 | |
David Andrew Beard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-363-2180 | |
Yara Khouri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-6235 | |
Dr. Mitchell Haut, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 Harrison Ave Nw, Ste 105, Canton, OH 44708 Phone: 330-453-9993 Fax: 330-453-9996 | |
Ramana Podugu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Suite A2-710, Canton, OH 44710 Phone: 330-454-8076 Fax: 330-454-3927 | |
Madhavi Sunkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth Street Sw, Aultman Hospital, Canton, OH 44710 Phone: 330-452-9911 |