| Remo Medical Group Of Ohio Corp | |
|
11811 Shaker Blvd Ste 204 Cleveland OH 44120-1927 | |
| (501) 804-1447 | |
| Not Available |
| Full Name | Remo Medical Group Of Ohio Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11811 Shaker Blvd Ste 204, Cleveland, Ohio |
| Authorized Official Name and Position | William Poe (CEO) |
| Authorized Official Contact | 4152694049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Remo Medical Group Of Ohio Corp 450 E Sagebrush Dr Unit 11 Jackson WY 83001-9058 Ph: () - | Remo Medical Group Of Ohio Corp 11811 Shaker Blvd Ste 204 Cleveland OH 44120-1927 Ph: (501) 804-1447 |
| NPI Number | 1649024480 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 5294277711 |
|---|---|
| Medicare Enrollment ID | O20240611003907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649024480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Meredith Bock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447612940 PECOS PAC ID: 8729339908 Enrollment ID: I20240611003888 |
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