Matthew Kacir, MD | |
2535 Hale St, Ste A, Avon, OH 44011-1856 | |
(440) 934-8810 | |
(440) 934-8811 |
Full Name | Matthew Kacir |
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Gender | Male |
Speciality | Pediatrics |
Location | 2535 Hale St, Avon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477555357 | NPI | - | NPPES |
2486813 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35084215 (Ohio) | Primary |
Entity Name | University Primary Care Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Mailing Address | Practice Location Address |
---|---|
Matthew Kacir, MD 26908 Detroit Rd, Suite 301, Westlake, OH 44145-2398 Ph: (440) 617-1823 | Matthew Kacir, MD 2535 Hale St, Ste A, Avon, OH 44011-1856 Ph: (440) 934-8810 |
Paula Mary Farner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36595 Detroit Rd, Avon, OH 44011 Phone: 440-934-4070 Fax: 440-934-4884 | |
Dr. Jennifer Rose Depalma-duersch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36320 Ravinia Ln, Avon, OH 44011 Phone: 513-373-0100 | |
Dr. Andrea D Preston, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 36901 American Way, Avon, OH 44011 Phone: 440-899-5550 | |
Dr. Alice G Mcintyre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36901 American Way, Suite C, Avon, OH 44011 Phone: 440-899-5550 Fax: 440-899-5674 | |
Jennifer M Carandang, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 36711 American Way Ste A, Avon, OH 44011 Phone: 440-653-8091 Fax: 440-653-8089 |