Premier Mental Health, Llc | |
3659 Green Rd Ste 322 Beachwood OH 44122-5715 | |
(216) 273-4003 | |
Not Available |
Full Name | Premier Mental Health, Llc |
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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 |
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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 |
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Provider Enumeration Date | 11/24/2020 |
Last Update Date | 02/20/2024 |
Certification Date | 02/20/2024 |
Medicare PECOS PAC ID | 2062825391 |
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Medicare Enrollment ID | O20210106001213 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194329607 | NPI | - | NPPES |
0414784 | Medicaid | OH |
Provider Name | Sheneka Mcgee-fears |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932725363 PECOS PAC ID: 5092133926 Enrollment ID: I20200909002598 |
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