Matthew Geraldi, | |
9220 Mentor Ave, Mentor, OH 44060-6412 | |
(440) 639-3581 | |
(440) 205-1009 |
Full Name | Matthew Geraldi |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 9220 Mentor Ave, Mentor, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346754991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | S.2102407 (Ohio) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Entity Name | Signature Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
Mailing Address | Practice Location Address |
---|---|
Matthew Geraldi, 9220 Mentor Ave, Mentor, OH 44060-6412 Ph: (440) 639-3581 | Matthew Geraldi, 9220 Mentor Ave, Mentor, OH 44060-6412 Ph: (440) 639-3581 |
Ashley Nichole Focht, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Mrs. Fatimaah D Brown-fullilove, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Theresa Gill, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Ms. Loretta M. George, M.ED., P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7244 Hopkins Rd, Mentor, OH 44060 Phone: 440-773-0563 | |
Merav K. Auzenne, MA PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417 | |
Kimberlee Bizup, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Ivy Novosel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 |