| Dr Laurence W Spivack, DPM | |
|
9330 Hidden Glen Dr, Mentor, OH 44060 | |
| (440) 487-3947 | |
| (513) 858-7827 |
| Full Name | Dr Laurence W Spivack |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 9330 Hidden Glen Dr, Mentor, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043215817 | NPI | - | NPPES |
| 000000242733 | Other | OH | ANTHEM |
| 016307 | Other | OH | UNITED HEALTHCARE |
| 0161999 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 36001535 (Ohio) | Primary |
| Provider Name | Dr Laurence W Spivack Dpm Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801380241 PECOS PAC ID: 3476587817 Enrollment ID: O20050924000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laurence W Spivack, DPM 9330 Hidden Glen Dr, Mentor, OH 44060-7362 Ph: (440) 487-3947 | Dr Laurence W Spivack, DPM 9330 Hidden Glen Dr, Mentor, OH 44060 Ph: (440) 487-3947 |
Mr. Stephen John Frania, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7482 Center St, Suite 100, Mentor, OH 44060 Phone: 440-357-8418 Fax: 440-255-9400 | |
Lake County Foot & Ankle Associates, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8334 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-357-8418 Fax: 440-255-9400 | |
Kevin Bilant, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8808 Tyler Blvd, Mentor, OH 44060 Phone: 440-255-6222 | |
Dr. Jeffrey C Lupica, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9500 Mentor Ave, Suite 210, Mentor, OH 44060 Phone: 440-352-1711 | |
Dr. Hayley Edythe Iosue, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8334 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-357-8418 Fax: 440-255-9400 | |
Robert James Rosenstein, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7230 Mentor Ave, Mentor, OH 44060 Phone: 440-946-5858 Fax: 440-918-4870 |