Glenn Goetchius, DO | |
12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | |
(216) 581-0500 | |
Not Available |
Full Name | Glenn Goetchius |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 12300 Mccracken Rd, Garfield Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699193961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 012466 (Ohio) | Primary |
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
---|---|
Glenn Goetchius, DO 19544 N Sagamore Rd, Fairview Park, OH 44126-1663 Ph: (216) 215-4243 | Glenn Goetchius, DO 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 Ph: (216) 581-0500 |
Michael Maurice Levinson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-587-8046 | |
Thomas Fowler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-581-0500 | |
Vijaykant Patel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-581-0500 | |
Bradford Borden, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-581-0500 |