Randall M .Maceyko, OD

A Medicare group practice based in Columbiana, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9638174402), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638174402The 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
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20060929000140 OH Part B Supplier - Clinic/Group Practice 1770684391

NPIs in this group 2

NPPES NPI Registry

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

Practice locations

Locations on the Medicare enrollment

Clinicians 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page