| Carol Ka-lap Chan, MD | |
| 7232 Justin Way, Mentor, OH 44060-4881 | |
| (440) 578-8200 | |
| Not Available | 
| Full Name | Carol Ka-lap Chan | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 7232 Justin Way, 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 | 
|---|---|---|---|
| 1033573308 | NPI | - | NPPES | 
| 0446163 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35.141061 (Ohio) | Primary | 
| Entity Name | The Cleveland Clinic Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 | 
| Entity Name | Signature Health, Inc. | 
|---|---|
| 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 | 
|---|---|
| Carol Ka-lap Chan, MD 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 | Carol Ka-lap Chan, MD 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 | 
| Dr. Tiffany Jones, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
| Dr. Richard Joseph Defranco, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
| Dr. Michael Louis Gorjanc, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9220 Mentor Ave, Beacon Health, Mentor, OH 44060 Phone: 440-639-3509 Fax: 440-205-1009 | |
| Dr. Bahman Yamini Sharif, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8701 Mentor Ave, Mentor, OH 44060 Phone: 440-266-0770 Fax: 440-266-0257 | |
| Gary R Kutsikovich, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8224 Mentor Ave, Ste 126, Mentor, OH 44060 Phone: 440-205-9292 Fax: 440-205-9191 | |
| Dr. Eileen S. Mcgee, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 |