| Muawia Abushukur, | |
|
3500 Kolbe Rd, Palliative Care Dept, Lorain, OH 44053-1632 | |
| (440) 960-4900 | |
| (440) 934-1567 |
| Full Name | Muawia Abushukur |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 3500 Kolbe Rd, Lorain, 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 |
|---|---|---|---|
| 1720297211 | NPI | - | NPPES |
| 0207207 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301083368 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 35126011 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy New Life Hospice | Lorain, OH | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Lorain Specialty Care Llc | 4688070055 | 126 |
| Entity Name | Mercy Health-regional Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558527184 PECOS PAC ID: 3577471101 Enrollment ID: O20031124000752 |
| Entity Name | Mercy Health Physicians Lorain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023347192 PECOS PAC ID: 1355474172 Enrollment ID: O20100730000651 |
| Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126381 PECOS PAC ID: 4688070055 Enrollment ID: O20210909003432 |
| Mailing Address | Practice Location Address |
|---|---|
| Muawia Abushukur, Po Box 636643, Cincinnati, OH 45263-6643 Ph: (440) 960-4900 | Muawia Abushukur, 3500 Kolbe Rd, Palliative Care Dept, Lorain, OH 44053-1632 Ph: (440) 960-4900 |
Cylie Alflen, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5940 Oak Point Rd, Lorain, OH 44053 Phone: 440-988-3705 Fax: 440-988-7433 | |
Norberto L Juan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3745 Grove Ave., Lorain, OH 44055 Phone: 440-240-1655 Fax: 440-233-0194 | |
Adefunke Adedipe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Kolbe Rd Ste 227, Lorain, OH 44053 Phone: 440-960-3304 Fax: 440-960-4733 | |
Kancherla Rao, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-204-4364 Fax: 440-233-9070 | |
Richard B White, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5940 Oak Point Rd, Lorain, OH 44053 Phone: 440-988-3705 Fax: 440-988-7433 | |
Jessica Carlene Tomazic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Cooper Foster Park Rd W, Lorain, OH 44053 Phone: 440-204-7800 | |
Katherine R Jones, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 Cooper Foster Park Rd W, Lorain, OH 44053 Phone: 440-204-7400 |