Northcoast Dermatology Associates, Inc.

PAC ID

0648212167The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

OH

Enrollments

1

Group size

5 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

1In 1 place

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Northcoast Dermatology Associates, Inc.

  dba Northcoast Dermatology

  • Dermatology Physician
  • Independence, OH
  • NPI 1750347480
• Northcoast Dermatology Associates, Inc.

  dba Northcoast Dermatology

  • Dermatology Physician
  • Independence, OH
  • NPI 1780994517

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (5).

• Carol G Burg, MD

  • Dermatology Physician
  • Independence, OH
  • NPI 1992761068
• Rachel Mistur, MD

  • Dermatology Physician
  • Independence, OH
  • NPI 1033504501
• Mary Teresa Sivik, MD

  • Dermatology Physician
  • Independence, OH
  • NPI 1841256013
• Stephanie Wallace, APRN CNP

  • Family Nurse Practitioner
  • Independence, OH
  • NPI 1194416792
• Marlene Willen, MD

  • Dermatology Physician
  • Independence, OH
  • NPI 1215955661

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.