| Philip Coverdale, MD | |
|
18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | |
| (440) 816-8000 | |
| Not Available |
| Full Name | Philip Coverdale |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 43 Years |
| Location | 18697 Bagley Rd, Middleburg Heights, 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 |
|---|---|---|---|
| 1740225911 | NPI | - | NPPES |
| 942460636351 | Other | OH | CARESOURCE |
| 0518014 | Medicaid | OH | |
| P00194271 | Other | OH | MEDICARE RR-GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35048557C (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uh Conneaut Medical Center | Conneaut, OH | Hospital |
| University Hospitals Geneva Medical Center | Geneva, OH | Hospital |
| Salem Regional Medical Center | Salem, OH | Hospital |
| Pomerene Hospital | Millersburg, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Emergency Specialists Llc | 4587807854 | 14 |
| Ues Geneva Llc | 4789827064 | 12 |
| Emergency Professional Services, Inc. | 7214832435 | 112 |
| 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 | Physicians Link Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172925 PECOS PAC ID: 8527969492 Enrollment ID: O20040405000838 |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Entity Name | Ues Geauga, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841242997 PECOS PAC ID: 6406876002 Enrollment ID: O20051128000779 |
| Entity Name | Mves Boardman Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205888237 PECOS PAC ID: 4688694722 Enrollment ID: O20051202000794 |
| Entity Name | Ohio Emergency Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
| Entity Name | University Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033454483 PECOS PAC ID: 4587807854 Enrollment ID: O20130905000711 |
| Entity Name | Ues Geneva Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689919029 PECOS PAC ID: 4789827064 Enrollment ID: O20130905000813 |
| Entity Name | Ues Ahuja Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467883934 PECOS PAC ID: 5496985467 Enrollment ID: O20140313001425 |
| Entity Name | Ohio Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184028524 PECOS PAC ID: 1658695424 Enrollment ID: O20150127000965 |
| Entity Name | Magis Emergency Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801287511 PECOS PAC ID: 2769700392 Enrollment ID: O20150410002555 |
| Entity Name | Pomerene Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770957185 PECOS PAC ID: 5496856270 Enrollment ID: O20160208000863 |
| Entity Name | University Hospitals Conneaut Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831545177 PECOS PAC ID: 0547429656 Enrollment ID: O20161107001012 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Coverdale, MD 24049 Shaker Blvd, Shaker Heights, OH 44122-2684 Ph: () - | Philip Coverdale, MD 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 Ph: (440) 816-8000 |
James Jos Rybak, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Phillip Stout, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Robert Brent Wilder, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Ibrahim Hasan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Michelle Ashley Fallon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 | |
Nicole Wadsworth, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7123 Pearl Rd, Middleburg Heights, OH 44130 Phone: 440-842-7990 Fax: 440-842-8835 | |
Angel Ronda, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 |