| Sean Douglas Deeley, PA-C | |
|
2141 Lake Ave, Ashtabula, OH 44004-3435 | |
| (440) 443-0442 | |
| (440) 755-8010 |
| Full Name | Sean Douglas Deeley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 2141 Lake Ave, Ashtabula, 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 |
|---|---|---|---|
| 1336021609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apex Dermatology And Skin Surgery Center, Llc | 1052589777 | 52 |
| Entity Name | Apex Dermatology and Skin Surgery Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689973638 PECOS PAC ID: 1052589777 Enrollment ID: O20110725000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Douglas Deeley, PA-C 2000 Auburn Dr Ste 350, Beachwood, OH 44122-4327 Ph: (440) 646-1600 | Sean Douglas Deeley, PA-C 2141 Lake Ave, Ashtabula, OH 44004-3435 Ph: (440) 443-0442 |
Michell Mcdiffett, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4200 Park Ave, Ashtabula, OH 44004 Phone: 216-280-4363 |
Kate Wagner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 524 W 24th St, Ashtabula, OH 44004 Phone: 440-496-6500 Fax: 440-496-6501 |
Mrs. Samantha Rae Meabon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 416 W 27th St, Ashtabula, OH 44004 Phone: 440-997-5427 |
Beth Zanko, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2422 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-6731 |
Tatyana N Kuvshinikov, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 417 W Prospect Rd, Ashtabula, OH 44004 Phone: 440-381-8520 |
Andrea M Swartout, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4211 Birchwood Ave, Ashtabula, OH 44004 Phone: 440-993-1267 |
Alicia Palo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 524 W 24th St, Ashtabula, OH 44004 Phone: 440-997-6915 Fax: 440-997-6976 |