Maria Aileenmichelle P Medina, MD is a medicare enrolled "Pediatrics" physician in Garfield Heights, Ohio. Her current practice location is
12000 Mccracken Rd, Suite 206, Garfield Heights, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 584-7840.
Maria Aileenmichelle P Medina is licensed to practice in Ohio (license number 74782) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366463515.
Physician's Profile
Full Name | Maria Aileenmichelle P Medina |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 12000 Mccracken Rd, Garfield Heights, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366463515
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 10/11/2007
Medicare PECOS Information:
- PECOS PAC ID: 9133229099
- Enrollment ID: I20070709000175
Medical Identifiers
Medical identifiers for Maria Aileenmichelle P Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366463515 | NPI | - | NPPES |
2741322 | Medicaid | OH | |
400779 | Other | OH | WELLCARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 74782 (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. Maria Aileenmichelle P Medina allows following entities to bill medicare on her behalf.
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
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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. Maria Aileenmichelle P Medina 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 |
Maria Aileenmichelle P Medina, MD 12000 Mccracken Rd, Suite 206, Garfield Heights, OH 44125-2964 Ph: (216) 584-7840 | Maria Aileenmichelle P Medina, MD 12000 Mccracken Rd, Suite 206, Garfield Heights, OH 44125-2964 Ph: (216) 584-7840 |
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