| Romeo S. Miclat, M.d., Inc | |
|
1060 N Abbe Road Elyria OH 44035 | |
| (440) 365-9371 | |
| (440) 366-6033 |
| Full Name | Romeo S. Miclat, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1060 N Abbe Road, Elyria, Ohio |
| Authorized Official Name and Position | Romeo S Miclat (PHYSICIAN) |
| Authorized Official Contact | 4403659371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Romeo S. Miclat, M.d., Inc 1060 N Abbe Road Elyria OH 44035 Ph: (440) 365-9371 | Romeo S. Miclat, M.d., Inc 1060 N Abbe Road Elyria OH 44035 Ph: (440) 365-9371 |
| NPI Number | 1972669463 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 04/29/2024 |
| Medicare PECOS PAC ID | 9133264039 |
|---|---|
| Medicare Enrollment ID | O20100303000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972669463 | NPI | - | NPPES |
| 000000498009 | Other | OH | ANTHEM NEPH |
| 2079656 | Medicaid | OH | |
| 000000498011 | Other | OH | ANTHEM IM |
| 35-038553 | Other | OH | LICENSE NUMBER |
| CG6814 | Other | OH | RAILROAD MEDICARE |
| Provider Name | Romeo Miclat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558346783 PECOS PAC ID: 3870405863 Enrollment ID: I20100303000592 |
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