| Mr Kenneth Roy Mazer, | |
|
6847 N Chestnut St, Ravenna, OH 44266-3929 | |
| (330) 493-4443 | |
| Not Available |
| Full Name | Mr Kenneth Roy Mazer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 6847 N Chestnut St, Ravenna, 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 |
|---|---|---|---|
| 1558565929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.003940RX (Ohio) | Primary |
| 1710I1002X | Military Health Care Provider - Independent Duty Corpsman | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uh Regional Hospitals | Chardon, OH | Hospital |
| Uhhs Memorial Hospital Of Geneva | Geneva, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Urgent Care, Llc | 3971985607 | 109 |
| 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 | 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 | 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 | Hometown Urgent Care of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20211014001382 |
| Entity Name | University Hospitals Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124765052 PECOS PAC ID: 3971985607 Enrollment ID: O20220727004332 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Roy Mazer, 10930 Clay St, Montville, OH 44064-9702 Ph: Not Available | Mr Kenneth Roy Mazer, 6847 N Chestnut St, Ravenna, OH 44266-3929 Ph: (330) 493-4443 |
Mr. John Brian Archer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-2850 |
James E Voyk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Suite 100, Ravenna, OH 44266 Phone: 330-297-6110 Fax: 330-296-0592 |
Mrs. Veronica Dejacimo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-979-9160 |
Tod Filmer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 |
Shafeen Ahmed, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2689 Green Hl, Ravenna, OH 44266 Phone: 330-808-9757 |
Wint Nay Chi Tun, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-235-1251 |
Travis Landis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 |