| Wilkes Mental Health Consultants Inc. | |
|
23811 Chagrin Blvd Ste. 170 Beachwood OH 44122-5525 | |
| (216) 765-0440 | |
| (216) 765-0448 |
| Full Name | Wilkes Mental Health Consultants Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23811 Chagrin Blvd, Beachwood, Ohio |
| Authorized Official Name and Position | Gary Mason Wilkes (PRESIDENT AND COO) |
| Authorized Official Contact | 2167650440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilkes Mental Health Consultants Inc. 23811 Chagrin Blvd Ste. 170 Beachwood OH 44122-5525 Ph: (216) 765-0440 | Wilkes Mental Health Consultants Inc. 23811 Chagrin Blvd Ste. 170 Beachwood OH 44122-5525 Ph: (216) 765-0440 |
| NPI Number | 1245684232 |
|---|---|
| Provider Enumeration Date | 04/16/2016 |
| Last Update Date | 05/03/2016 |
| Medicare PECOS PAC ID | 2567761851 |
|---|---|
| Medicare Enrollment ID | O20160509002299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245684232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35-049560 (Ohio) | Primary |
| Provider Name | Gary M Wilkes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548265051 PECOS PAC ID: 4486745932 Enrollment ID: I20070813000304 |
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