Amy R Madan, MED, LPCC-SUPV | |
25700 Science Park Dr Ste 280, Beachwood, OH 44122-7317 | |
(216) 290-2520 | |
(216) 435-7366 |
Full Name | Amy R Madan |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 25700 Science Park Dr Ste 280, Beachwood, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902102346 | NPI | - | NPPES |
2871101 | Medicaid | OH | |
0268768 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.0900128-SUPV (Ohio) | Primary |
Entity Name | Anne Pearl, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598445918 PECOS PAC ID: 5597108068 Enrollment ID: O20240212003173 |
Mailing Address | Practice Location Address |
---|---|
Amy R Madan, MED, LPCC-SUPV 25700 Science Park Dr Ste 280, Beachwood, OH 44122-7317 Ph: (216) 290-2520 | Amy R Madan, MED, LPCC-SUPV 25700 Science Park Dr Ste 280, Beachwood, OH 44122-7317 Ph: (216) 290-2520 |
Miss Melissa Nicole Daniele, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23240 Chagrin Boulevard Suite 270, Beachwood, OH 44122 Phone: 216-765-0500 Fax: 216-765-0521 | |
Erika Rosen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23250 Chagrin Blvd Ste 425, Beachwood, OH 44122 Phone: 216-464-4243 | |
Lauren Scott Butler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 Enterprise Pkwy, Beachwood, OH 44122 Phone: 866-237-6125 | |
Savannah Galloway, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 23811 Chagrin Blvd Ste 105, Beachwood, OH 44122 Phone: 216-483-1001 | |
Mr. Matthew D Coffman, MA, PCC Counselor Medicare: Medicare Enrolled Practice Location: 25700 Science Park Dr Ste 210, Beachwood, OH 44122 Phone: 216-450-1613 Fax: 216-450-1614 | |
June Carey, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122 Phone: 216-910-9015 Fax: 216-910-9015 | |
Latricia Mccray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Auburn Dr, Beachwood, OH 44122 Phone: 216-502-8369 |