Integrated Behavioral And Primary Care Llc | |
23850 Commerce Park Beachwood OH 44122-5829 | |
(440) 781-5205 | |
(440) 568-5003 |
Full Name | Integrated Behavioral And Primary Care Llc |
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Speciality | Nurse Practitioner |
Location | 23850 Commerce Park, Beachwood, Ohio |
Authorized Official Name and Position | Svetlana Alana Litvak (DIRECTOR) |
Authorized Official Contact | 4407815205 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrated Behavioral And Primary Care Llc 23850 Commerce Park Beachwood OH 44122-5829 Ph: (440) 781-5205 | Integrated Behavioral And Primary Care Llc 23850 Commerce Park Beachwood OH 44122-5829 Ph: (440) 781-5205 |
NPI Number | 1386282002 |
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Provider Enumeration Date | 12/12/2019 |
Last Update Date | 06/08/2023 |
Certification Date | 06/08/2023 |
Medicare PECOS PAC ID | 2668800541 |
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Medicare Enrollment ID | O20200309001477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386282002 | NPI | - | NPPES |
0392833 | Medicaid | OH |
Provider Name | George G Stokes |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801868203 PECOS PAC ID: 7012105927 Enrollment ID: I20101220000362 |
Provider Name | Megan Nicole Kyea |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851856017 PECOS PAC ID: 3173855038 Enrollment ID: I20191024003152 |
Provider Name | Svetlana Alana Litvak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326289075 PECOS PAC ID: 3779619473 Enrollment ID: I20200309001619 |
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