| Mark J Pellegrino, MD | |
|
6651 Frank Ave Nw, North Canton, OH 44720 | |
| (330) 498-9865 | |
| (330) 498-9869 |
| Full Name | Mark J Pellegrino |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 42 Years |
| Location | 6651 Frank Ave Nw, North Canton, 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 |
|---|---|---|---|
| 1538170691 | NPI | - | NPPES |
| 341750133 | Other | OH | SUMMACARE |
| 341898905030 | Other | OH | CARESOURCE |
| 250011247 | Other | OH | RAILROAD MEDICARE |
| 000000141768 | Other | OH | ANTHEM |
| 341898905B | Other | OH | AULTCARE |
| 0715739 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 35050212 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Hospital | Zanesville, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohio Rehab Center Ii, Inc | 7517931272 | 5 |
| Entity Name | Ohio Rehab Center Ii, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740234806 PECOS PAC ID: 7517931272 Enrollment ID: O20040819001539 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Pellegrino, MD Po Box 26125, Akron, OH 44319-6125 Ph: (330) 493-0840 | Mark J Pellegrino, MD 6651 Frank Ave Nw, North Canton, OH 44720 Ph: (330) 498-9865 |
Vladimir Djuric, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6651 Frank Ave Nw, North Canton, OH 44720 Phone: 330-498-9865 | |
Amardeep S Chauhan, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7442 Frank Ave Nw, North Canton, OH 44720 Phone: 330-305-0838 Fax: 330-491-2048 |