| Mark T Defrancisco, DO | |
|
1371 W Main St, Newark, OH 43055-3681 | |
| (220) 564-1965 | |
| (220) 564-1966 |
| Full Name | Mark T Defrancisco |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 30 Years |
| Location | 1371 W Main St, Newark, 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 |
|---|---|---|---|
| 1588605729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 34.006764 (Ohio) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 83058 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Licking Memorial Hospital | Newark, OH | Hospital |
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Licking Memorial Professional Corporation | 6204740731 | 218 |
| Lexington Health Inc | 2567872070 | 824 |
| Entity Name | Licking Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Defrancisco, DO 1371 W Main St, Newark, OH 43055-3681 Ph: (220) 564-1965 | Mark T Defrancisco, DO 1371 W Main St, Newark, OH 43055-3681 Ph: (220) 564-1965 |
Dr. Sang Won Dacri-kim, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1970 Tamarack Rd., Newark, OH 43055 Phone: 740-344-2452 Fax: 740-522-7305 | |
Dr. William H Phillips, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1371 West Main Street, Newark, OH 43055 Phone: 220-564-1965 Fax: 220-564-1966 | |
Dr. Larry Pasley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1272 W Main St, Bldg. 3, Newark, OH 43055 Phone: 740-348-1880 Fax: 740-348-1881 | |
Dr. Brent M Savage, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Messimer Dr, Newark, OH 43055 Phone: 220-564-1880 Fax: 220-564-1881 | |
Mr. John Marvin Mitchell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Messimer Dr, Newark, OH 43055 Phone: 220-564-1880 Fax: 220-564-1881 | |
Ahmed F. Kandeel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1272 West Main Street, Suite 302, Newark, OH 43055 Phone: 220-564-1880 Fax: 220-564-1881 | |
Dr. Alex D Juan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1970 Tamarack Rd, Newark, OH 43055 Phone: 740-344-2452 Fax: 740-344-7305 |