| Canton Internal Medicine Associates Ince | |
|
4076 Holiday St Nw Canton OH 44718 | |
| (330) 492-3738 | |
| (330) 492-5640 |
| Full Name | Canton Internal Medicine Associates Ince |
|---|---|
| Speciality | Internal Medicine |
| Location | 4076 Holiday St Nw, Canton, Ohio |
| Authorized Official Name and Position | Stacy Lynn Diehl (INSURANCE CLAIMS PROCESSOR) |
| Authorized Official Contact | 3308335692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Internal Medicine Associates Ince 4076 Holiday St Nw Canton OH 44718 Ph: (330) 492-3738 | Canton Internal Medicine Associates Ince 4076 Holiday St Nw Canton OH 44718 Ph: (330) 492-3738 |
| NPI Number | 1518908698 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5698670198 |
|---|---|
| Medicare Enrollment ID | O20100222000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518908698 | NPI | - | NPPES |
| 0792898 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OH35060119 (Ohio) | Primary |
| Provider Name | Eser Talug |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255322913 PECOS PAC ID: 8224933726 Enrollment ID: I20040211000954 |
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Lifecare Family Health And Dental Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2725 Lincoln St E, Canton, OH 44707 Phone: 330-454-2000 Fax: 330-454-7284 | |
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Guiding Paths Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6545 Market Ave N, Canton, OH 44721 Phone: 330-510-4533 | |
Pinnacle Wound Providers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 236 3rd St Sw, Canton, OH 44702 Phone: 330-754-4431 Fax: 330-244-8839 | |
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