| Matthew Anthony Capezzuto, LISW | |
|
22540 Lorain Rd, Fairview Park, OH 44126-2212 | |
| (440) 734-4037 | |
| (440) 734-4710 |
| Full Name | Matthew Anthony Capezzuto |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 19 Years |
| Location | 22540 Lorain Rd, Fairview Park, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609972017 | NPI | - | NPPES |
| 2594518 | Other | OH | MEDICAID PROVIDER REPORTING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I7623 (Ohio) | Secondary |
| 103TC0700X | Psychologist - Clinical | 7071 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Behavioral Health Services, Incorporated | 5092713529 | 6 |
| Entity Name | Allied Behavioral Health Services, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902984248 PECOS PAC ID: 5092713529 Enrollment ID: O20061117000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Anthony Capezzuto, LISW 22540 Lorain Rd, Fairview Park, OH 44126-2212 Ph: (440) 734-4037 | Matthew Anthony Capezzuto, LISW 22540 Lorain Rd, Fairview Park, OH 44126-2212 Ph: (440) 734-4037 |
Christine Masulovich, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4507 W 213th St, Fairview Park, OH 44126 Phone: 330-356-3500 | |
Deborah Staelens Rosch Eifert, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 22540 Lorain Rd, Fairview Park, OH 44126 Phone: 440-734-4037 Fax: 440-734-4710 | |
Mrs. Megan Wellman, M.A., PSY.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4320 W 220th St, Fairview Park, OH 44126 Phone: 440-356-3525 | |
Dr. Deborah A Koricke, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 Phone: 440-333-4949 Fax: 440-333-5044 | |
Suzanne Lesure, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4475 Valley Forge Dr, Fairview Park, OH 44126 Phone: 330-418-7887 Fax: 330-776-5557 | |
Dr. Jonah Lakin, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19220 Lorain Rd Ste 203, Fairview Park, OH 44126 Phone: 216-393-7749 | |
Miss Rachel Martin, PSY. S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20800 Westgate Professional Center #200,, Fairview Park, OH 44126 Phone: 440-333-4949 |