Samuel Richard Puccinelli, is a
Counselor - Mental Health based in Mayfield, Ohio. Samuel Richard Puccinelli is licensed to practice in * (Not Available) (license number ) and his current practice location is
6700 Beta Dr Ste 108, Mayfield, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 460-0140.
NPI number for Samuel Richard Puccinelli is 1427842012 and his current mailing address is 19510 Lorain Rd Apt 105, Fairview Park, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427842012.
Healthcare Provider's Profile
| Full Name | Samuel Richard Puccinelli |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 6700 Beta Dr Ste 108, Mayfield, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427842012
- Provider Enumeration Date: 04/08/2025
- Last Update Date: 04/08/2025
Medical Identifiers
Medical identifiers for Samuel Richard Puccinelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427842012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Richard Puccinelli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samuel Richard Puccinelli,
19510 Lorain Rd Apt 105,
Fairview Park, OH 44126-1900
Ph: (440) 341-4986 | Samuel Richard Puccinelli,
6700 Beta Dr Ste 108,
Mayfield, OH 44143-2335
Ph: (440) 460-0140 |
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