| Trinetta Dawn Masternick, DO | |
|
964 N Market St, Lisbon, OH 44432-9363 | |
| (330) 424-1468 | |
| Not Available |
| Full Name | Trinetta Dawn Masternick |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Addiction Medicine |
| Location | 964 N Market St, Lisbon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851367759 | NPI | - | NPPES |
| 377258 | Other | OH | ANTHEM |
| 2429287 | Medicaid | OH | |
| 001521548 | Other | OH | HIGHMARK BC/BS |
| 1018805400001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 34.007852 (Ohio) | Primary |
| 207Q00000X | Family Medicine | 34.007852 (Ohio) | Secondary |
| Entity Name | Brightview Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659769446 PECOS PAC ID: 9032426044 Enrollment ID: O20150923000820 |
| Entity Name | On Demand Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093257859 PECOS PAC ID: 0941554133 Enrollment ID: O20181106001761 |
| Entity Name | Spero Health Of Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346748563 PECOS PAC ID: 4486030376 Enrollment ID: O20220929002575 |
| Mailing Address | Practice Location Address |
|---|---|
| Trinetta Dawn Masternick, DO Po Box 464, Lisbon, OH 44432-0464 Ph: (330) 424-1468 | Trinetta Dawn Masternick, DO 964 N Market St, Lisbon, OH 44432-9363 Ph: (330) 424-1468 |
Dr. Hubert K Keylor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 356 E Lincoln Way, Lisbon, OH 44432 Phone: 330-337-4905 Fax: 330-424-1811 | |
Dr. Frank D Lazzerini, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7880 Lincole Pl, Community Action Agency, Lisbon, OH 44432 Phone: 330-424-5686 Fax: 330-424-4012 | |
Zia Ahmed Sial, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7880 Lincole Pl, Lisbon, OH 44432 Phone: 330-424-7221 Fax: 330-424-3731 | |
Mrs. Iram F Ahmed, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7880 Lincole Pl, Lisbon, OH 44432 Phone: 330-424-7221 |