Matthew Anthony Capezzuto, LISW in Fairview Park, OH

Matthew Anthony Capezzuto, LISW is a medicare enrolled "Psychologist - Clinical" provider in Fairview Park, Ohio. His current practice location is 22540 Lorain Rd, Fairview Park, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 734-4037.

Matthew Anthony Capezzuto is licensed to practice in Ohio (license number 7071) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609972017.

Contact Information

	Matthew Anthony Capezzuto, LISW
	22540 Lorain Rd, Fairview Park, OH 44126-2212
	(440) 734-4037
	(440) 734-4710

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Anthony Capezzuto
Gender	Male
Speciality	Psychologist - Clinical
Location	22540 Lorain Rd, Fairview Park, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609972017
Provider Enumeration Date: 09/15/2006
Last Update Date: 04/15/2017

Medicare PECOS Information:

PECOS PAC ID: 3173521606
Enrollment ID: I20100324000813

Medical Identifiers

Medical identifiers for Matthew Anthony Capezzuto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609972017	NPI	-	NPPES
2594518	Other	OH	MEDICAID PROVIDER REPORTING NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I7623 (Ohio)	Secondary
103TC0700X	Psychologist - Clinical	7071 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew Anthony Capezzuto allows following entities to bill medicare on his behalf.

Entity Name	Allied Behavioral Health Services, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902984248 PECOS PAC ID: 5092713529 Enrollment ID: O20061117000155

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Anthony Capezzuto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Matthew Anthony Capezzuto, LISW 22540 Lorain Rd, Fairview Park, OH 44126-2212 Ph: (440) 734-4037	Matthew Anthony Capezzuto, LISW 22540 Lorain Rd, Fairview Park, OH 44126-2212 Ph: (440) 734-4037

Reviews and Comments

Psychologist in Fairview Park, OH

Christine Masulovich, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4507 W 213th St, Fairview Park, OH 44126 Phone: 330-356-3500
Deborah Staelens Rosch Eifert, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 22540 Lorain Rd, Fairview Park, OH 44126 Phone: 440-734-4037 Fax: 440-734-4710
Mrs. Megan Wellman, M.A., PSY.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4320 W 220th St, Fairview Park, OH 44126 Phone: 440-356-3525
Dr. Deborah A Koricke, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 Phone: 440-333-4949 Fax: 440-333-5044
Suzanne Lesure, PH.D Psychologist Medicare: Medicare Enrolled Practice Location: 4475 Valley Forge Dr, Fairview Park, OH 44126 Phone: 330-418-7887 Fax: 330-776-5557
Dr. Jonah Lakin, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19220 Lorain Rd Ste 203, Fairview Park, OH 44126 Phone: 216-393-7749
Miss Rachel Martin, PSY. S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20800 Westgate Professional Center #200,, Fairview Park, OH 44126 Phone: 440-333-4949

Matthew Anthony Capezzuto, LISW - Medicare Psychologist in Fairview Park, OH