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Ohio Part B Carrier
Opt Out Provider List for Ohio

The providers listed below are those who have elected to Opt Out of the Medicare program. The date in the far right hand column represents the date the provider chose to Opt Out of the Medicare Program. Providers who Opt Out means that they cannot be employed by or work with other groups who have members who have not also chosen to Opt Out of the Medicare program.

NAME/ADDRESS
SPECIALTY
PAR / NON PAR
DATE
Abbe, Duane A
632 Cleveland Ave
Elyria, Ohio 44035
35
N
04/01/2005
Abbe, Steven T
8128 SR 241 Box 48
Mt Hope, Ohio 44660
35
N
04/01/2005
Abramson, Mindy
5965 Renaissance PL BLDG 3
Toledo, Ohio 43623
71
N
01/01/2007
Adan, Francoise
20600 Chagrin Blvd #702
Shaker Hts, Ohio 44122-0000
26
N
01/29/2007
Allen, Don
115A Commerce Park Dr
Westerville, Ohio 43082
80
P
04/01/2005
Alvarez, Carlos M
3824 Hoover Rd
Grove City, Ohio 43123-2454
 

 19

 N

 06/02/2008

Atkins, Merrilee R
3001 Highland Ave
Cincinnati, Ohio 45219-2315
80
P
07/01/1998
Bair, Cynthia
10921 Reed Hartman Hwy
Suite 133
Cincinnati, Ohio 45242-2851
68
N
10/01/2004
Bedich, Joseph D
495 Wakefield Dr
Cortland, Ohio 44410-1501
19
P
01/01/2007
Beech, Douglas W
1201 U S 23 North Suite C
Delaware, Ohio 43015-0000
26
P
10/01/2001
Beech, Douglas W
3535 Olentangy River Rd
Columbus, Ohio 43214-3908
26
P
10/01/2001
Beech, Douglas W
1299 Olentangy River Rd
Columbus, Ohio 43212-3118
26
N
10/01/2001
Beech, Douglas W
445 E Granville Rd
Worthington, Ohio 43085-3192
26
P
10/01/2001

Beery, Jeffrey S
219 Main St
Hillsboro, Ohio 45133-0037 

 11

 P

 01/01/2009

Blatman, Hal S
10653 Techwoods Cir #101
Cincinnati, Ohio 45242-2845
01
P
04/01/1999
Bodnar, Kenneth J
21851 Center Ridge Rd
Suite 104
Rocky River, Ohio 44116-3901
19
N
04/22/2004
Bodnar, Thomas
21851 Center Ridge Rd #104
Rocky River, Ohio 44116-0000
19
N
02/20/2007
Bosma, Thomas S
9200 Montgomery Rd Ste 2 A
Cincinnati, Ohio 45242-7730
19
N
12/13/2004
Bosworth, Mary
10921 Reed Hartman Hwy Ste 133
Cincinnati, Ohio 45242-2851 

 80

 P

 7/1/2009

Boudreau Jr, Val R
11323 Springfiels Pike
Cincinnati, Ohio 45245-4201
19
N
01/31/2008
Bowling, Patricia L.
10921 Reed Hartman Hwy Ste 133
Cincinnati, Ohio 45242-2851 

 80

 N

07/1/2009

Bowling, Patricia L.
121 E Locust St
Wilmington, Ohio 45177 

 80

 P

 07/1/2009

Brook, Marvin G
3619 Park E #316 S
Beachwood, Ohio 44122
26
N
01/01/2007
Bullard, David
201N Plaza Blvd
Chillicothe, Ohio 45601-1761

 19

 N

 06/02/2008

Burke, Miles J
10475 Montgomery Rd Ste 4F
Cincinnati, Ohio 45242-5200

  18

 N

  01/01/2009

Campbell, Kristine M
23230 Chagrin Blvd #350
Beachwood, Ohio 44122-5475
26
N
07/01/2003
Campbell, Kristine M
18051 Jefferson Pk Rd #104
Cleveland, Ohio 44130-3460
26
N
07/01/2003
Carosello, Stephen T
9500 Mentor Ave Ste 280
Mentor, Ohio 44060-0000
19
N
08/11/2004
Carpenter, Michael
610 Broadmoor Ave
Napoleon, Ohio 43545-0000
19

N

05/15/2007

Cassady, James
7140 Miami Ave Ste 202
Cincinnati, Ohio 45243-2676 

 85

 N

 10/01/2008

Cassady, James
7803 Five Mile Rd
Cincinnati, Ohio 45230-2347 

85 

10/01/2008 

Cassady, James
7611 Cheviot Rd
Cincinnati, Ohio 45247-4036

 85

 N

 10/01/2008

Chacon, Guillermo
5155 Bradenton Ave Ste 100
Dublin, Ohio 43017-7559

 19

06/02/2008 

Chacon, Guillermo
305 W 12th Ave
Columbus, Ohio 43210-1267

 19

 06/02/2008

Chamberlain, Barbara K
11385 Montgomery Rd Suite 230
Cincinnati, Ohio 45249-2381
80
N
01/01/2008
Chamberlain, Barbara K
10921 Reed Hartmann Hwy Suite 133
Cincinnati, Ohio 45242-2851
80
N
01/01/2008
Chappell, L Terry
122 Thurman St
Bluffton, Ohio 45817-1306
08
P
07/01/1998

Corcoran, Kathleen
6611 Rockside Dr 215
Independence, Ohio
44131-2344 

 68

 N

 10/01/2009

Crocker, Dan J
7462 Jager Ct
Cincinnati, Ohio 45230
85

N

10/01/2007

Crombie, Martin
2010 W 19th St
Ashtabula, Ohio 44004
19
N
06/16/2005
Crombi, E D Baloghi
2010 W 19th St
Ashtabula, Ohio 44004
19
N
06/16/2005
Croskey, Anne
3021 Bethel Rd Ste 107
Columbus, Ohio 43220-2286

 68

 N

 10/1/2009

Cutright, Brian
550 East Main St
Lancaster, Ohio 43130
85
N
10/24/2005
Davis, Brian T
6797 N High St Ste350
Worthington, Ohio 43085
80
N
04/21/2005
DeMuth, David W
92 Northwoods Blvd
Columbus, Ohio 43235-4720
26
P
07/01/1999
Derminio, Thomas
7826 Cooper Rd
Cincinnati, Ohio 45242
80
N
04/01/2006
Dowden, Richard V
6770 Mayfield Rd Ste 410
Mayfield Hts., Ohio 44124-2299
24
N
01/01/2005
Dunlap, Gary A
2640 St Charles Ave
Dayton, Ohio 45410-3147
01
N
07/20/2006
Eckert, Jane L
3250 W Market St
Fairlawn, Ohio 44333-3320
68
N
04/01/2007
Faber, Warren L
23220 Chagrin Blvd 305
Beachwood, Ohio 44122 

 68

 N

 07/01/2009

Fallang, David J
82 N Breiel Blvd
Middletown, Ohio 45042
02
N
10/01/2002
Feister, Wayne A
4600 CR 313
Rawson, Ohio 45881
08
P
06/01/2006
Feng, Lu Jean M
32100 Pinetree Rd
Pepper Pike, Ohio 44124-5976
24
N
10/01/2000
Foster, David G
3461 Warrensville Ctr Rd
Ste 304
Shaker Heights, Ohio 44122-5227
80
N
01/01/2006
Fraed, Cynthia
7271 Engle Rd 115
Cleveland, Ohio 44130-8404 

 16

 N

 5/13/2009

Frankin, Peter S
15389 Kinsman Rd
Middlefield, Ohio 44062-9473
08
N
01/01/2008

Fraser, Bruce
463 Waterbury Ct
Gahanna, Ohio 43230 

 85

 N

 04/01/2009

Freeman, Anna
10921 Reed Hartman Hwy 133
Cincinnati, Ohio 45242-2851 

 80

 N

 09/01/2008

Gase, Warren
9294 Winton Rd
Cincinnati, Ohio 45231-0000
19
N
08/29/2005
Gelke, Ann
3447 Cornell Place
Cincinnati, Ohio 45220-1501
26
N
01/20/2004
Gerwe, Roger A
7373 Beechmont Ave
Cincinnati, Ohio 45230-4100
 

 80

 N

 01/01/2009

Gibbs, Jeffrey
4775 Knightsbridge Blvd Ste 101
Columbus, Ohio 43214-4313
19

N

07/24/2007

Gildenblatt, Daryl L
10506 Montgomery Rd #502
Cincinnati, Ohio 45242-4487
16
P
04/01/1999
Goldfarb, Nosson S
24700 Center Ridge Rd Suite 317
Westlake, Ohio 44145-5606
37
N
02/21/2008
Goldfarb, Nosson S
18151 Jefferson Park Ste 103
Cleveland, Ohio 44130-3496
37
N
02/21/2008
Grau, Michael
3805 Edwards Rd STE 160
Cincinnati, Ohio 45209-1948 

 85

 N

 06/01/2008

Hall, Terri Perelman 
2936 E Overlook Rd 

Cleveland, Ohio 44118
 

 68

 N

 01/01/2007

Harrison Jr, Victor B
10921 Reed Hartman Hwy
Suite 133
Cincinnati, Ohio 45242-2851
80
N
10/01/2006
Hayes, David
1105 Schrock Rd 207
Columbus, Ohio 43229-1174 

 68

 N

 10/1/2009

Held, Daniel
10921 Reed Hartman Hwy 133
Cincinnati, Ohio 45242-2851 

 80

 N

 07/01/2009

Helmuth, Dennis O
128 East Milltown Rd
Wooster, Ohio 44691-1276
26
N
04/01/2001
Heller, Alfred
145 Green Meadows Dr S
Lewis Center, Ohio 43035
19
N
02/28/2007
Heller, Robert
145 Green Meadows Dr S
Lewis Center, Ohio 43035
19
N
03/01/2007
Hirshman, Judith L
23250 Chagrin Blvd
Beachwood, Ohio 44122-5470
26
N
01/01/2004
Hirshman, Judith L 
33001 Solon Rd #214
Solon, Ohio 44139-2839
 

 26

 N

 01/01/2004

Hirshman, Judith L
11311 Shaker Blvd
Cleveland, Ohio 44104-3805
26
N
01/01/2004
Hirshman, Judith L
24755 Chagrin Blvd #250
Beachwood, Ohio 44122-5689
26
N
01/01/2004
Hirshman, Judith L
13951 Terrace Rd 7th FL
Huron Road Hospital
East Cleveland, Ohio 44112

 26

 N

 01/01/2004

Hoffman, William
5151 S Main St
Sylvania, Ohio 43537 

 80

 N

 06/01/2009

Hoffman, William
10921 Reed Hartman Hwy 133
Cincinnati, Ohio 45242-2851  

 80

 N

  06/01/2009

Honig, Richard G
3001 Highland Ave
Cincinnati, Ohio 45219
26
N
05/14/2007
Hoza, John
2010 W 19th St
Ashtabula, Ohio 44004
19
N
06/16/2005
Huber, Heather
10921 Reed Hartmann Hwy 133
Cincinnati, Ohio 45242-2851
 

 80

 N

 07/01/2009

Hughes, William
1510 Columbus Ave 120
Washington CT Hse., Ohio
43160-1986 

 19

 N

 06/02/2008

Hurst, James
9000 N Main St. Ste 207
Dayton, Ohio 45415
19
N
12/4/2007
Iacobelli, Mark
8030 Corporate Circle
North Royalton, Ohio 44133
19
N
08/18/2004
Juarre, Jason J, DDS
1075 E. Second St Ste B
Defiance, Ohio 43512-2431 

 19

 N

 10/01/2004

Kaplan, Marcia
3001 Highland Ave
Cincinnati, Ohio 45219-2315 

 26

 N

 8/20/2009

Karlowicz, James A
420 Reeves Avenue
Suite A
Dover, Ohio 44622-2162
19
N
04/11/2006
Kleinman, Jerome J
4422 Carver Woods Dr
Cincinnati, Ohio 45242-5536
26
N
07/17/2002
Kleinman, Rudite M
4422 Carver Woods Dr
Cincinnati, Ohio 45242-5536
62
N
11/29/2002
Kloss, Kenneth
7826 Cooper Rd
Cincinnati, Ohio 45242
80
N
04/01/2006
Lamping, Richard E
11438 Lebanon Rd
Sharonville, Ohio 45241-6201
85
N
04/01/2004
Lemkau, Jeanne P 
320 Orton Rd
Yellow Springs, Ohio 45387

 68

 N

 01/01/2006

Levendula, Judy D
3656 Traynham Rd
Shaker Hts., Ohio 44122-5145 

 80

 N

 01/01/2009

Loch, James
72 Executive Dr
Norwalk, OH 44857 

 19

 N

 09/17/2009

Lowitz, Terry
8712 Winton Rd
Cincinnati, Ohio 45231-4814 

 19

 N

 11/10/2008

Lubitz, Lester M
11438 Lebanon Rd
Sharonville, Ohio 45241-6201
85
N
04/01/2004
McEwan, Jack
568 Industrial Pkwy
Heath, Ohio 43056-1528

 19

 N

 06/18/2008

Macleod, John A
3001 Highland Ave
Cincinnati, Ohio 45219-2315
26
N
01/08/2002
Makarius, Debby L
2091 Graham Rd
Stow, Ohio 44224-4033
 

 80

 N

 04/01/2009

Makarius, Debby L
10921 Reed Hartmann Hwy Ste 133
Cincinnati, Ohio 45242-0666
  

  80

 N

 04/01/2009

Mannix, Lisa K
4760 E Galbraith Rd
Cincinnati, Ohio 45236-6703
13
N
05/23/2001
Mayhall, Christine
231 Albert Sabin Way ML 0559
Cincinnati, Ohio 45267-0001
68
N
04/01/2008
Mayhall, Christine
7826 Cooper Rd
Cincinnati, Ohio 45242
68
N
04/01/2006
Meier, Melissa
8712 Winton Rd
Cincinnati, Ohio 45231-4814 

 19

 N

 11/10/2008

Mendola, Janet
1115 Bethel Rd
Columbus, Ohio 43220 

 26

 N

 06/23/2007

Merwin, Susan L
4422 Carver Woods Dr
Cincinnati, Ohio 45242

 26

 N

 09/01/2008

Meyer, Austin
126 E Olentangy St
Powell, OH 43065 

 19

 N

 10/28/2009

Michaels, Gregory C
463 Waterbury Ct
Gahanna, Ohio 43230 

 85

 P

 07/01/2009

Miday, Karen
1015 Delta Ave
Cincinnati, Ohio 45208 

 26

 N

 07/01/2008

Miday, Karen
4760 Madison Rd
Cincinnati, Ohio 45227-1426

  26

 N

 07/01/2008

Miller, Jaclyn
7650 Chippewa Rd 213
Brecksville, Ohio 44141-2300 

 68

 N

 10/01/2008

Miller, William M
602 Emerald Rd
Paulding Ohio 45879-1114
01
N
01/04/1999
Modugno, Leonard
987 C East Cherry St
Canal Fulton, Ohio 44614
19
N
01/29/2007

Moore, Douglas
6611 Rockside Dr 215
Independence, Ohio 44131 

 68

 N

 07/01/2009

Murphy, T Michael
1134 Independence Ave
Marion, Ohio 43302-6394
85
N
04/07/2005
Pecenka, Michael P
14783 Pearl Rd
Strongsville, Ohio 44136
19
N
09/01/2005
Peck, Fred
19 Garfield Pl Ste 215
Cincinnati, Ohio 45202
19
N
06/20/2006
Pentz, Douglas
7826 Cooper Rd
Cincinnati, Ohio 45242 

 68

 N

 10/01/2008

Peponis Jr., Tom G 
2249 West Broad St
Columbus, Ohio 43223-1047

 08

 N

 01/01/2009

Pieper, Steven P
7140 Main St Suite 202
Cincinnati, Ohio 45243-2676 

 85

  N

 10/01/2008

Pieper, Steven P
7803 Five Mile Rd
Cincinnati, Ohio 45230-2347

 85

 N

 10/01/2008

Pieper, Steven P
7611 Cheviot Rd
Cincinnati, Ohio 45247-4036

 85

 N

 10/01/2008

Pierson, Steven
110 S Tippecanoe Dr
Tipp City, Ohio 45371
19

N

07/01/2007

Plummer, Roger
126 E. Olentangy St.
Powell, Ohio 43065
19
N
03/14/2007
Puckett, Scott
1665 Alex Dr
Wilmington, Ohio 45177
19
N
03/30/2007
Levy, Mark
925 N Hamilton Rd Ste 200
Gahanna, Ohio 43230
19
N
11/20/2007
Rausch, Gregory A
10921 Reed Hartman Hwy
Suite 133
Cincinnati, Ohio 45242-2851
80
N
04/01/2005
Rangel, Josefa M
3463 Whitfield Ave
Cincinnati, Ohio 45220 

 83

 N

 06/01/2007

Rasco, Francine
993 High St #240
Worthington, Ohio 43082-4020
26
N
04/01/2008
Roberts, Janice S
5800 Monroe St
Sylvania, OH 45360 

 68

 N

 01/01/2010

Robertson, Samuel T
3001 Highland Ave
Cincinnati, Ohio 45219-2315
26
N
11/27/2000
Rothstein, Lawrence B
1 Elizabeth Pl
Dayton, Ohio 45408-1445  

 05

 N

 03/30/2009

Rubel, Nancy
23220 Chagrin Blvd 305
Beachwood, Ohio 45408 

 05

 N

 07/01/2009

Rumberger, John
5747 Perimeter Dr
Dublin, Ohio 43017
06
N
03/22/2006
Rusk, Aimee J
3001 Highland Ave
Cincinnati, Ohio 45219-0000
26
N
05/14/2007
Rusk, Aimee J
4240 Hunt Rd
Cincinnati, Ohio 45242-0000
26
N
05/06/2007
Sabet-Sharghi, Farid
23240 Chargin Blvd Bldg 4 STE 610
Beachwood, Ohio 44122-5404 

 26

 N

 01/01/2009

Schiller, Timothy W
7462 Jager Ct
Cincinnati, Ohio 45230
85

N

10/01/2007

Schirmer, James
1726 Deerfield Rd
Lebanon, Ohio 45036
19
N
01/30/2007
Schottenstein, Michael 
2700 E Main St
Columbus, Ohio 43209-2536
 

  26

 N

 04/01/2005

Scott, Donald S
5335 Far Hills Ave, STE 301C
Dayton, Ohio 45429
68
N
01/01/2001
Scott, Donald S
101 E Water St
Sandusky, Ohio 44870-2525
68
N
01/01/2001
Scott, Donald S
421 Jackson St
Sandusky, Ohio 44870-2736
68
N
01/01/2001
Shankland II, Wesley E
6011 Cleveland Ave
Columbus, Ohio 43231-2256

 19

 N

 07/01/2007

Shonefield, Lee J
4422 Carver Woods Dr
Cincinnati, Ohio 45242-5536
26
N
07/17/2002
Sinof, F MD Clive L
8345 E Market St Ste C
Warren, Ohio 44484-2342
11
N
03/01/2004
Sinoff, Clive L
10 Severance Circle
Cleveland Hts., Ohio 44118-1533
83
N
03/01/2004
Sinoff, Clive L
2326 Eagle Pass
Wooster, Ohio 44691-5338
83
N
03/01/2004
Sinoff, Clive L
2819 Aaronwood Ave NW Massillon, Ohio 44646
83
N
03/01/2004
Smith, Brian K
14601 Detroit Ave # 630
Lakewood, Ohio 44107-4209
85
N
09/01/2004
Smith, Charles C
110 S Tippecanoe Dr
Tipp City, Ohio 45371-1140
19
N
07/21/2004
Sommers, Norman
72 Executive Dr
Norwalk, OH 44857

 19

 N

 09/17/2009

Sonnie, Clifford
3985 Medina Rd Ste 250
Medina, Ohio 44256
93
N
09/01/2004
Squicquero, Mark J
567 East Main St
Canfield, Ohio 44406
85
N
11/08/2005
Sreshta, Flavia P
12000 McCracken Rd #455
Garfield Hts., Ohio 44125-2933

 19

 N

 03/01/2004

Stark, Maureen A
115 A Commerce Park Dr
Westerville, Ohio 43082-8349
26
N
12/03/2007
Stern, Brian
609E Chestnut St
Lancaster, Ohio 43130-3900 

 19

 N

 06/02/2008

Stern, Elizabeth B
23230 Chagrin Blvd #350
Beachwood, Ohio 44122-5475
26
N
09/01/2004
Stern, Elizabeth B
2460 Fairmont Boulevard
Suite 210
Cleveland Hts., Ohio 44106-3125
26
N
10/01/2004
Stern, Norman
40 Hidden Ravines Dr
Lewis Center, Ohio 43035-0678

19 

06/19/2008 

Swanson, Patrick G
9200 Montgomery Rd
Ste C11A
Cincinnati, Ohio 45242-7789
26
N
07/01/2004
Tabacca, Jerome
1707 Bethel Rd
Columbus, Ohio 43220
19
N
01/10/2008
Takats, Jenifer M
575 Copeland Mill, Ste 1E
Westerville, Ohio 43081
26
N
04/01/2006
Takats, Jenifer M
445 E Granville Rd
Worthington, Ohio 43085-3192
26
N
04/01/2006
Tenpenny, Sherri J
7251 Engle Rd. Ste, 250
Middlesburg Hts., Ohio 44130
01
N
06/05/2003
Thatcher, Scott L
11323 Springfield Pike
Cincinnati, Ohio 45246-4201
85
N
01/31/2008
Torok, Leonard J
5779 Wooster Pike Rd
Medina, Ohio 44256
20
N
03/01/2004
Vanhorn, Charles E
2091 Graham Rd
Stow, Ohio 44224-4033
80
N
06/01/2008
Vanhorn, Charles E
10921 Reed Hartman Hwy
Cincinnati, Ohio 45242-2851
80
N
06/01/2008
Vitt, Michael B
1272 W Main St Bldg 3
Newark, Ohio 43055-2080
19
N
01/14/2005
Vonkaenel, Douglas
568 Industrial Pkwy
Health, Ohio 43056 

 19

 N

 07/20/2009

Walker, Leslie
20600 Chagrin Blvd 702
Shaker Heights, Ohio 44122-5341

26

 N

 07/01/2009

Waite, Henry C
7817 Cooper Rd Ste C
Cincinnati, Ohio 45242-7605
 

 26

 N

 06/01/2007

Waite, Henry C
1101 Summit Rd, Bldg 5
Cincinnati, Ohio 45237-2621
26
N
06/01/2007
Weeks, Douglas
3985 Medina Rd Ste 250
Medina, Ohio 44256-0000
93
N
09/01/2004
Weeks, Douglas
18101 Lorain Ave
Fairfield Hosp
Cleveland, Ohio 44111-5656
93
N
09/01/2004
Weeks, Douglas
1730 W 25th St
Cleveland, Ohio 44113-3108
93
N
09/01/2004
Weeks, Douglas
850 Columbia Rd
Westlake, Ohio 44145-1493
93
N
09/01/2004
Wessels, Judith A
10921 Reed Hartman HWY, Suite 133
Cincinnati, Ohio 45242-2851
80
N
10/01/2007
Williams, Todd E
11325 Springfield Pike
Cincinnati, Ohio 45246-4201 

 18

 N

 09/11/2009

Wingate, Warren
1237 N Monroe Dr
Xenia, Ohio 45385-0000
19

N

08/10/2007

Wojtanowski, Michael H
30400 Detroit Rd
Westlake, Ohio 44145-1503
24
N
01/01/2004
Wood, Frank
10921 Reed Hartman Hwy 133
Cincinnati, Ohio 45242-2851 

 68

 N

 01/01/2009

Wynn, Mary
3650 Muddy Creek Rd 200
Cincinnati, Ohio 45238-2057 

 19

 N

 07/21/2008

Yanich, Jason
1456 Marion Waldo Rd
Marion, Ohio 43302-7422 

 19

 N

 06/02/2008

Zahner, Carolyn
11223 Carnell Park Dr Ste 401
Cincinnati, Ohio 45242-1835
80
N
04/26/2007
Ziemba, Robert B
11323 Springfield Pike
Springfield, Ohio 45246-4201
85
N
01/31/2008

* P = Participating, N = Non-participating

 

last updated on 01/19/2010
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