| Cagel Medical Llc | |
|
301 W Grove St Clarks Summit PA 18411-2090 | |
| (570) 319-1200 | |
| (570) 319-9792 |
| Full Name | Cagel Medical Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 301 W Grove St, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Christopher Oyede (OWNER) |
| Authorized Official Contact | 5706877866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cagel Medical Llc 301 W Grove St Clarks Summit PA 18411-2090 Ph: (570) 319-1200 | Cagel Medical Llc 301 W Grove St Clarks Summit PA 18411-2090 Ph: (570) 319-1200 |
| NPI Number | 1437726833 |
|---|---|
| Provider Enumeration Date | 06/05/2021 |
| Last Update Date | 06/05/2021 |
| Certification Date | 06/05/2021 |
| Medicare PECOS PAC ID | 0749682771 |
|---|---|
| Medicare Enrollment ID | O20210713001673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437726833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Christopher O Oyede |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629438312 PECOS PAC ID: 3375969926 Enrollment ID: I20200813002298 |
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