| Dr. Mark S. Massie, L.l.c. | |
|
15644 Madison Ave, Lakewood, OH 44107-5622 | |
| (216) 221-2445 | |
| (216) 221-5891 |
| Full Name | Dr. Mark S. Massie, L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 15644 Madison Ave, Lakewood, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053591321 | NPI | - | NPPES |
| 2876351 | Medicaid | OH | |
| DE5695 | Other | OH | MEDICARE RAILROAD GROUP PIN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 3074 (Ohio) | Primary |
| Provider Name | Mark S Massie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538110648 PECOS PAC ID: 8022026855 Enrollment ID: I20060406000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mark S. Massie, L.l.c. Po Box 40450, Bay Village, OH 44140-0450 Ph: (440) 871-4700 | Dr. Mark S. Massie, L.l.c. 15644 Madison Ave, Lakewood, OH 44107-5622 Ph: (216) 221-2445 |
Dr. Thomas E Emmert, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15810 Detroit Ave, Lakewood, OH 44107 Phone: 216-529-1800 Fax: 216-529-3201 | |
Dr Jerome J Lamendola Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 15810 Detroit Ave, Lakewood, OH 44107 Phone: 216-529-1800 Fax: 216-529-3201 | |
Dr. Michael Joseph Beauclair, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1415 Blossom Park Ave, Lakewood, OH 44107 Phone: 216-226-4694 | |
Dr. Jennifer Lynne Prezioso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 14200 Madison Ave, Lakewood, OH 44107 Phone: 216-658-0111 Fax: 216-658-0110 | |
Balance Medical And Wellness Group Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 14200 Madison Ave, Lakewood, OH 44107 Phone: 330-637-0348 Fax: 330-637-0048 | |
Balance: Foot And Ankle, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 14200 Madison Ave, Lakewood, OH 44107 Phone: 216-577-1003 |