Mary Wong, MD | |
6780 Mayfield Rd, Mayfield Hts, OH 44124-2203 | |
(216) 449-4500 | |
Not Available |
Full Name | Mary Wong |
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Gender | Female |
Speciality | Pediatrics - Neurodevelopmental Disabilities |
Location | 6780 Mayfield Rd, Mayfield Hts, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417994195 | NPI | - | NPPES |
942460636468 | Other | OH | CARESOURCE |
2216444 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0008X | Pediatrics - Neurodevelopmental Disabilities | 35.078204 (Ohio) | Primary |
208000000X | Pediatrics | 35.078204 (Ohio) | Secondary |
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 |
---|---|
Mary Wong, MD 2801 Martin Luther King Jr Dr, Cr-11, Cleveland, OH 44104-3815 Ph: (216) 448-6254 | Mary Wong, MD 6780 Mayfield Rd, Mayfield Hts, OH 44124-2203 Ph: (216) 449-4500 |
Marina B. Molinari-zuzek, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6780 Mayfield Rd, Mayfield Hts, OH 44124 Phone: 216-449-4500 | |
Joey Matthew Korah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5800 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124 Phone: 440-544-1940 Fax: 440-544-1944 | |
Dr. Anna Grinberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5850 Landerbrook Dr Ste 210, Mayfield Hts, OH 44124 Phone: 440-720-3888 Fax: 440-720-3882 | |
Dr. Shakuntala Rao, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6770 Mayfield Rd, Suite #236, Mayfield Hts, OH 44124 Phone: 216-449-9471 Fax: 216-449-7311 | |
Zane Saalouke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5850 Landerbrook Dr Ste 301, Mayfield Hts, OH 44124 Phone: 440-446-9991 Fax: 440-446-9998 |