Jacqueline Spadaro, MRC, PCC-S | |
2500 W Strub Rd, Suite 300, Sandusky, OH 44870-5390 | |
(419) 624-1277 | |
(419) 621-0099 |
Full Name | Jacqueline Spadaro |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2500 W Strub Rd, Sandusky, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528276193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C0501140 (Ohio) | Primary |
Entity Name | Northern Ohio Medical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214 |
Mailing Address | Practice Location Address |
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Jacqueline Spadaro, MRC, PCC-S Po Box 378, Sandusky, OH 44871-0378 Ph: (419) 609-1112 | Jacqueline Spadaro, MRC, PCC-S 2500 W Strub Rd, Suite 300, Sandusky, OH 44870-5390 Ph: (419) 624-1277 |
Gavin Lee Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 | |
Dr. Jacqueline S. Hamler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 E Perkins Ave Ste 201, Sandusky, OH 44870 Phone: 419-609-0285 Fax: 419-609-0286 | |
Kimberly Mary Dunphy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Melissa Allton-cameron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Penny Starr Morgan, PCC Counselor Medicare: Medicare Enrolled Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Ellen Tracy Miles, P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Ms. Charlene Jeanette Adams, LICDCCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1518 Pearl Street, Sandusky, OH 44870 Phone: 419-515-0663 |