Advanced Neurologic Associates, Inc | |
5433 State Route 113 Bellevue OH 44811-9708 | |
(419) 483-2403 | |
(419) 483-8418 |
Full Name | Advanced Neurologic Associates, Inc |
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Speciality | Psychiatry & Neurology |
Location | 5433 State Route 113, Bellevue, Ohio |
Authorized Official Name and Position | Pat Mcnea (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 4194832403 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Neurologic Associates, Inc 5433 State Route 113 Bellevue OH 44811-9708 Ph: (419) 483-2403 | Advanced Neurologic Associates, Inc 5433 State Route 113 Bellevue OH 44811-9708 Ph: (419) 483-2403 |
NPI Number | 1740362755 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 05/31/2013 |
Medicare PECOS PAC ID | 6305897752 |
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Medicare Enrollment ID | O20050203000162 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740362755 | NPI | - | NPPES |
CL1664 | Other | OH | RAILROAD MEDICARE |
2383620 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Provider Name | Nicole B Danner |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1245202050 PECOS PAC ID: 5193769115 Enrollment ID: I20050610000470 |
Provider Name | Steven Benedict |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1982676789 PECOS PAC ID: 0244230985 Enrollment ID: I20100907000665 |
Provider Name | Brendan Bauer |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1245202043 PECOS PAC ID: 6507866241 Enrollment ID: I20100908000850 |
Provider Name | Nicholas Denbesten |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255614541 PECOS PAC ID: 7113185273 Enrollment ID: I20120221000077 |
Provider Name | Jacqueline M Graziani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861823676 PECOS PAC ID: 8921237165 Enrollment ID: I20140210000949 |
Provider Name | Adam Martin Kapler |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1942542196 PECOS PAC ID: 7810290640 Enrollment ID: I20170615002676 |
Provider Name | Christopher Michael Hassett |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1760825301 PECOS PAC ID: 2961707716 Enrollment ID: I20170921003710 |
Provider Name | Angela M Gillmor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811524333 PECOS PAC ID: 7315378445 Enrollment ID: I20200505002972 |
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