Mukunda Medical Group Llc | |
6559 Wilson Mills Rd Ste 106 Mayfield Village OH 44143-3433 | |
(855) 449-1540 | |
(440) 672-5068 |
Full Name | Mukunda Medical Group Llc |
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Speciality | Internal Medicine |
Location | 6559 Wilson Mills Rd Ste 106, Mayfield Village, Ohio |
Authorized Official Name and Position | Beejadi N Mukunda (PRESIDENT) |
Authorized Official Contact | 8554491540 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mukunda Medical Group Llc Po Box 952041 Cleveland OH 44193-0051 Ph: (855) 449-1540 | Mukunda Medical Group Llc 6559 Wilson Mills Rd Ste 106 Mayfield Village OH 44143-3433 Ph: (855) 449-1540 |
NPI Number | 1578267647 |
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Provider Enumeration Date | 03/30/2023 |
Last Update Date | 11/21/2024 |
Medicare PECOS PAC ID | 1153787007 |
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Medicare Enrollment ID | O20230518001083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578267647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Beejadi N Mukunda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225087208 PECOS PAC ID: 3375447782 Enrollment ID: I20031204000091 |
Provider Name | Natalie A Kolman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063894681 PECOS PAC ID: 2062724388 Enrollment ID: I20150630000098 |
Provider Name | Dana Michelle Pierce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487132312 PECOS PAC ID: 0143579250 Enrollment ID: I20180823000479 |
Provider Name | Lyndsey Rachelle Decesare |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912540543 PECOS PAC ID: 9537551502 Enrollment ID: I20220125001361 |
Provider Name | Kylie Cremer Walters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528841889 PECOS PAC ID: 7911353313 Enrollment ID: I20231020001487 |
Provider Name | Abby A Dennison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700601937 PECOS PAC ID: 4688100076 Enrollment ID: I20241209002950 |
Community Internists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6555 Wilson Mills Rd, Suite 103, Mayfield Village, OH 44143 Phone: 440-442-8313 Fax: 440-442-8316 | |