| Donald Potter, | |
|
202 E Bagley Rd, Berea, OH 44017-2058 | |
| (800) 234-2006 | |
| Not Available |
| Full Name | Donald Potter |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 202 E Bagley Rd, Berea, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396094181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | S1100448 (Ohio) | Primary |
| Entity Name | Alcove Ventures Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093191322 PECOS PAC ID: 1456669605 Enrollment ID: O20151007002805 |
| Entity Name | Watson Community Health Centre |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326761578 PECOS PAC ID: 7810411501 Enrollment ID: O20250403001252 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Potter, 202 E Bagley Rd, Berea, OH 44017-2058 Ph: (800) 234-2006 | Donald Potter, 202 E Bagley Rd, Berea, OH 44017-2058 Ph: (800) 234-2006 |
Samantha Radel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 589 W Bagley Rd, Berea, OH 44017 Phone: 216-202-0702 | |
Chloe Todd, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 398 W Bagley Rd Ste 13, Berea, OH 44017 Phone: 440-970-3790 Fax: 440-527-8043 | |
Nicole Zarobila, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 800-234-2006 | |
John Maxwell Mccarty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 216-502-7982 Fax: 440-234-0787 | |
Andrew K Rohde, LMFT, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 398 W Bagley Rd Ste 13, Berea, OH 44017 Phone: 440-970-3790 Fax: 440-527-8043 | |
Kaylyn Gimbel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 W Bagley Rd Unit 216, Berea, OH 44017 Phone: 216-340-0011 | |
Allison Apel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 800-234-2006 |