| Cff Medical & Behavioral Health, Llc | |
|
1569 Bent Maple Dr Blacklick OH 43004-8197 | |
| (614) 446-6016 | |
| Not Available |
| Full Name | Cff Medical & Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1569 Bent Maple Dr, Blacklick, Ohio |
| Authorized Official Name and Position | Enestine Azenkeng Tasong (NURSE PRACTITIONER) |
| Authorized Official Contact | 6144466016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cff Medical & Behavioral Health, Llc Po Box 313 Blacklick OH 43004-0313 Ph: (614) 446-6016 | Cff Medical & Behavioral Health, Llc 1569 Bent Maple Dr Blacklick OH 43004-8197 Ph: (614) 446-6016 |
| NPI Number | 1043946163 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Medicare PECOS PAC ID | 5395111041 |
|---|---|
| Medicare Enrollment ID | O20221020001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043946163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Enestine Tasong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952642134 PECOS PAC ID: 4183956246 Enrollment ID: I20191023001724 |
| Provider Name | Martha Mukwada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093373037 PECOS PAC ID: 5890020226 Enrollment ID: I20230524002401 |
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