Martin Phillip Kasofsky, MD | |
601 State Route 664 N, Logan, OH 43138-8541 | |
(740) 380-8000 | |
Not Available |
Full Name | Martin Phillip Kasofsky |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 56 Years |
Location | 601 State Route 664 N, Logan, 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 |
---|---|---|---|
1598783722 | NPI | - | NPPES |
100235508 | Medicaid | WI | |
01424024 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 104826 (New York) | Secondary |
207R00000X | Internal Medicine | 100555 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 35.149581 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fayette County Memorial Hospital | Washington ch, OH | Hospital |
Wilson Memorial Hospital | Sidney, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3207 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Martin Phillip Kasofsky, MD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (740) 380-8000 | Martin Phillip Kasofsky, MD 601 State Route 664 N, Logan, OH 43138-8541 Ph: (740) 380-8000 |
George T Ralph, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 St Rt 664 Box 966, Logan, OH 43138 Phone: 740-380-8000 Fax: 740-380-2932 | |
Lindsay L. Boik-price, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Michael S. Abrahams, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Jeffrey Scott Gudes, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Mario C Villegas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 710-380-8000 | |
Neal E Bucher, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 |