| Matthew Mark, MD | |
| 
					50 Blaine Ave Ste 2200, Bedford, OH 44146-2709  | |
| (440) 232-5400 | |
| (440) 232-0084 | 
| Full Name | Matthew Mark | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 50 Blaine Ave Ste 2200, Bedford, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881782936 | NPI | - | NPPES | 
| 2191097 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 35075459M (Ohio) | Primary | 
| Entity Name | University Primary Care Practices Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767  | 
| Entity Name | University Hospitals Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301  | 
| Entity Name | University Hospitals Regional Practices Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336602218 PECOS PAC ID: 3779818638 Enrollment ID: O20190715001865  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Mark, MD Po Box 901666, Cleveland, OH 44190-1666 Ph: (440) 232-5400  | Matthew Mark, MD 50 Blaine Ave Ste 2200, Bedford, OH 44146-2709 Ph: (440) 232-5400  | 
Selena Mcclain, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 Blaine Ave, Bedford, OH 44146 Phone: 440-735-3900  | |
Deborah Brindza, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 22750 Rockside Rd Ste 210, Bedford, OH 44146 Phone: 216-383-0100 Fax: 216-383-6481  | |
Diane Burgin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 22750 Rockside Rd Ste 210, Bedford, OH 44146 Phone: 216-383-0100 Fax: 216-383-6481  | |
Dr. Arlen Jeffery Rollins, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 Blaine Ave, Suite 2300, Bedford Medical Center, Bedford, OH 44146 Phone: 440-232-0061  |