- Medicare Primary Care in Independence, OH

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is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Independence, Ohio. The current practice location for is 6480 Rockside Woods Blvd S Ste 330, Independence, Ohio. For appointments, you can reach them via phone at (312) 776-2410. The mailing address for is 225 W Washington St Ste 1700, Chicago, Illinois and phone number is (312) 776-2422.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1497308456. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (312) 776-2410.

Contact Information

6480 Rockside Woods Blvd S Ste 330
Independence
OH 44131-2222
(312) 776-2410
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityInternal Medicine
Location6480 Rockside Woods Blvd S Ste 330, Independence, Ohio
Authorized Official Name and PositionIyad Houshan (CHIEF MEDICAL OFFICER)
Authorized Official Contact7022362929
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

225 W Washington St Ste 1700
Chicago
IL 60606-3404

Ph: (312) 776-2422
6480 Rockside Woods Blvd S Ste 330
Independence
OH 44131-2222

Ph: (312) 776-2410

NPI Details:

NPI Number1497308456
Provider Enumeration Date07/18/2019
Last Update Date09/26/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7719319896
Medicare Enrollment IDO20191111001502

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497308456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLinda L Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578510855
PECOS PAC ID: 8123096872
Enrollment ID: I20040920001322
Provider NameSteven P Robertson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770582686
PECOS PAC ID: 3072523778
Enrollment ID: I20060425000830
Provider NameElisha E Pelland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972832491
PECOS PAC ID: 6002959814
Enrollment ID: I20100202000524
Provider NameMichael N Huber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114954393
PECOS PAC ID: 6507763166
Enrollment ID: I20100524000253
Provider NameDebra M Fader
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740584143
PECOS PAC ID: 4587600531
Enrollment ID: I20110120000986
Provider NameDagogo Opusunju
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720242811
PECOS PAC ID: 0941385124
Enrollment ID: I20141223001869
Provider NameEdeisha E Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912126897
PECOS PAC ID: 5890085716
Enrollment ID: I20160606002304
Provider NameStephanie Marie Heath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568846517
PECOS PAC ID: 6406164714
Enrollment ID: I20160919001420
Provider NameStacie L Hertzsch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851824916
PECOS PAC ID: 1557648557
Enrollment ID: I20170428001813
Provider NameLesley Newell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720591373
PECOS PAC ID: 1557620622
Enrollment ID: I20180117002328
Provider NameJennifer Roscoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427419985
PECOS PAC ID: 6709173644
Enrollment ID: I20180119001209
Provider NameHailey E Brogan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083117766
PECOS PAC ID: 6507129491
Enrollment ID: I20180405001518
Provider NameSusan Renee Billetter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992202824
PECOS PAC ID: 6204182256
Enrollment ID: I20180703003226
Provider NameJohn Michael Humienny
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013368588
PECOS PAC ID: 0648603068
Enrollment ID: I20191125002483
Provider NameElizabeth A Fulkroad
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487149837
PECOS PAC ID: 1254762040
Enrollment ID: I20200511003524
Provider NameMelissa Beathard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285225763
PECOS PAC ID: 2264832914
Enrollment ID: I20210616003602

Reviews and Comments


Internal Medicine in Independence, OH

August Health Services Incorporated
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4850 Hickory Nut Ln, Independence, OH 44131
Phone: 216-524-2521    Fax: 216-524-2521

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6801 Brecksville Rd, Suite 10, Independence, OH 44131
Phone: 216-444-9819    Fax: 216-520-1973
Cleveland Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5001 Rockside Rd, Independence, OH 44131
Phone: 216-986-4830    
Marymount Primary Care Services, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4400 Rockside Rd, Suite 2100, Independence, OH 44131
Phone: 216-573-1300    Fax: 216-503-5005

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 6701 Rockside Rd, #370, Independence, OH 44131
Phone: 216-520-3022    Fax: 216-520-3023
Greenbrook Tms Cleveland Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4807 Rockside Rd Ste 450, Independence, OH 44131
Phone: 416-915-9100    
Premier Health Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6900 Granger Rd, #203, Independence, OH 44131
Phone: 216-520-1220    Fax: 216-520-1222

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.