| Brian J Novack Dpm Inc | |
|
29630 Euclid Ave, Wickliffe, OH 44092-1829 | |
| (440) 944-6665 | |
| (440) 944-6672 |
| Full Name | Brian J Novack Dpm Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 29630 Euclid Ave, Wickliffe, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134273428 | NPI | - | NPPES |
| 0111152 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 36002998 (Ohio) | Primary |
| Provider Name | Brian Novack |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598762924 PECOS PAC ID: 4284795311 Enrollment ID: I20081209000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J Novack Dpm Inc 29630 Euclid Ave, Wickliffe, OH 44092-1829 Ph: (440) 944-6665 | Brian J Novack Dpm Inc 29630 Euclid Ave, Wickliffe, OH 44092-1829 Ph: (440) 944-6665 |
Brian J Novack Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29630 Euclid Ave, Wickliffe, OH 44092 Phone: 440-944-6665 Fax: 440-944-6672 | |
Cornerstone Podiatry Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 29127 Euclid Ave, Wickliffe, OH 44092 Phone: 216-731-3370 | |
Dr. Brian Novack, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 29630 Euclid Ave, Wickliffe, OH 44092 Phone: 440-944-6665 | |
Dr. Sina Benjamin Esraeilian, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1491 Lloyd Rd, Wickliffe, OH 44092 Phone: 440-585-1616 |