| Halcyonmd | |
|
10123 Alliance Rd Blue Ash OH 45242-4707 | |
| (513) 489-7100 | |
| Not Available |
| Full Name | Halcyonmd |
|---|---|
| Speciality | Clinic/Center |
| Location | 10123 Alliance Rd, Blue Ash, Ohio |
| Authorized Official Name and Position | Charles Stoltz (TREASURER) |
| Authorized Official Contact | 5134897100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halcyonmd 10123 Alliance Rd Ste 320 Blue Ash OH 45242-4707 Ph: (513) 489-7100 | Halcyonmd 10123 Alliance Rd Blue Ash OH 45242-4707 Ph: (513) 489-7100 |
| NPI Number | 1538867031 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 7315381555 |
|---|---|
| Medicare Enrollment ID | O20240215003468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538867031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jay Bernstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093791212 PECOS PAC ID: 6709862683 Enrollment ID: I20040629001733 |
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