| Cleveland Prime Care Belmont Llc | |
|
92 N 4th St Ste 22 Martins Ferry OH 43935-1600 | |
| (740) 296-5702 | |
| (740) 296-5705 |
| Full Name | Cleveland Prime Care Belmont Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 92 N 4th St Ste 22, Martins Ferry, Ohio |
| Authorized Official Name and Position | Renato Delacruz (MD) |
| Authorized Official Contact | 3042427106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Prime Care Belmont Llc Po Box 6230 Wheeling WV 26003-0722 Ph: (304) 242-7106 | Cleveland Prime Care Belmont Llc 92 N 4th St Ste 22 Martins Ferry OH 43935-1600 Ph: (740) 296-5702 |
| NPI Number | 1619436854 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 7113251422 |
|---|---|
| Medicare Enrollment ID | O20190620000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619436854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Patrick Robert Dennison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235370461 PECOS PAC ID: 6204985146 Enrollment ID: I20090522000346 |
| Provider Name | Renato Dela Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174523641 PECOS PAC ID: 4486696796 Enrollment ID: I20100504000472 |
| Provider Name | Thomas V Sargero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033104468 PECOS PAC ID: 9234105784 Enrollment ID: I20120709000360 |
| Provider Name | Jeanette Mertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992119101 PECOS PAC ID: 9931325230 Enrollment ID: I20140722002511 |
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