| Premier Mental Health, Llc | |
|
3659 Green Rd Ste 322 Beachwood OH 44122-5715 | |
| (216) 273-4003 | |
| Not Available |
| Full Name | Premier Mental Health, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3659 Green Rd Ste 322, Beachwood, Ohio |
| Authorized Official Name and Position | Sheneka Mcgee Fears (CHIEF MEDICAL OFFICER/OWNER) |
| Authorized Official Contact | 2162734003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Mental Health, Llc 154 E Aurora Rd # 204 Northfield OH 44067-2053 Ph: (216) 273-4003 | Premier Mental Health, Llc 3659 Green Rd Ste 322 Beachwood OH 44122-5715 Ph: (216) 273-4003 |
| NPI Number | 1194329607 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Medicare PECOS PAC ID | 2062825391 |
|---|---|
| Medicare Enrollment ID | O20210106001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194329607 | NPI | - | NPPES |
| 0414784 | Medicaid | OH |
| Provider Name | Sheneka Mcgee-fears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932725363 PECOS PAC ID: 5092133926 Enrollment ID: I20200909002598 |
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