Dennis Connor Mccluskey, MD | |
754 S Cleveland Ave, Mogadore, OH 44260-2205 | |
(330) 628-2686 | |
(330) 628-0828 |
Full Name | Dennis Connor Mccluskey |
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Gender | Male |
Speciality | Family Medicine |
Location | 754 S Cleveland Ave, Mogadore, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851394266 | NPI | - | NPPES |
0369195 | Medicaid | OH | |
1841239074 | Other | OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # |
9338635 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # |
2551671 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # |
1083864144 | Other | OH | PORTAGE HILLS TYPE 2 NPI # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35-040854 (Ohio) | Primary |
Entity Name | Summit Psychological Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114976701 PECOS PAC ID: 4082518857 Enrollment ID: O20031124000007 |
Mailing Address | Practice Location Address |
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Dennis Connor Mccluskey, MD 754 S Cleveland Ave, Mogadore, OH 44260-2205 Ph: (330) 628-2686 | Dennis Connor Mccluskey, MD 754 S Cleveland Ave, Mogadore, OH 44260-2205 Ph: (330) 628-2686 |
Brian R Cain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 754 S Cleveland Ave Ste 300, Mogadore, OH 44260 Phone: 330-877-3008 Fax: 330-877-3032 | |
Ekaete Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 754 S Cleveland Ave, #300, Mogadore, OH 44260 Phone: 330-628-2686 Fax: 330-628-0828 | |
Joseph P Burick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 754 S Cleveland Ave, Suite 300, Mogadore, OH 44260 Phone: 330-628-2686 Fax: 330-628-0828 | |
Brenda S Buis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 754 S Cleveland Ave, Mogadore, OH 44260 Phone: 330-628-2686 Fax: 330-628-0828 |