Axelix Health Consulting, Inc | |
8587 East Ave Mentor OH 44060-4301 | |
(440) 867-4800 | |
(866) 711-5107 |
Full Name | Axelix Health Consulting, Inc |
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Speciality | Internal Medicine |
Location | 8587 East Ave, Mentor, Ohio |
Authorized Official Name and Position | Olugegun A Ogunlesi (PRESIDENT) |
Authorized Official Contact | 4408674800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Axelix Health Consulting, Inc 8587 East Avenue Mentor OH 44060-4301 Ph: (440) 867-4800 | Axelix Health Consulting, Inc 8587 East Ave Mentor OH 44060-4301 Ph: (440) 867-4800 |
NPI Number | 1578874541 |
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Provider Enumeration Date | 06/24/2010 |
Last Update Date | 05/19/2023 |
Medicare PECOS PAC ID | 9032243779 |
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Medicare Enrollment ID | O20100817000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578874541 | NPI | - | NPPES |
2868599 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 35086600 (Ohio) | Primary |
Provider Name | Olusegun A Ogunlesi |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1013182013 PECOS PAC ID: 5395879035 Enrollment ID: I20100817000209 |
Provider Name | Sarah Jean Small |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578948824 PECOS PAC ID: 1759699853 Enrollment ID: I20151008001914 |
Provider Name | Diana L Mackensen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629575329 PECOS PAC ID: 0446506356 Enrollment ID: I20180709000593 |
Provider Name | Megan Staff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942842844 PECOS PAC ID: 5395175905 Enrollment ID: I20200422003247 |
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