| Mr Mark C Demetrios, CNP | |
|
955 Windham Ct, Suite 2, Boardman, OH 44512-5035 | |
| (330) 726-9570 | |
| Not Available |
| Full Name | Mr Mark C Demetrios |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 955 Windham Ct, Boardman, 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 |
|---|---|---|---|
| 1285067801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | COA 14997-NP (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Psychiatry Group Inc | 6406932144 | 10 |
| Entity Name | Comprehensive Psychiatry Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023293198 PECOS PAC ID: 6406932144 Enrollment ID: O20080321000020 |
| Entity Name | Family & Community Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750607057 PECOS PAC ID: 1557495223 Enrollment ID: O20100817000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark C Demetrios, CNP 955 Windham Ct, Suite 2, Boardman, OH 44512-5035 Ph: (330) 726-9570 | Mr Mark C Demetrios, CNP 955 Windham Ct, Suite 2, Boardman, OH 44512-5035 Ph: (330) 726-9570 |
Melanie L Birch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 Windham Ct Ste 1, Boardman, OH 44512 Phone: 330-726-3357 Fax: 330-726-1465 | |
Lori L Leipheimer, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8261 Market St, Boardman, OH 44512 Phone: 330-286-0050 | |
Amanda Rae Caputo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 Windham Ct Ste 6a, Boardman, OH 44512 Phone: 330-259-0440 | |
Richelle D Shipman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-965-0909 Fax: 330-965-0897 | |
Nikki Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Trailwood Dr, Boardman, OH 44512 Phone: 234-287-6544 Fax: 330-259-9721 | |
Ashley Mckee, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 987 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-965-8760 | |
Elizabeth Grace Carrier, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4298 Fax: 330-729-1897 |