| Dr Clifford Quinn Cabansag, MD | |
| 
					4302 Roosevelt Blvd, Middletown, OH 45044-6697  | |
| (513) 433-1032 | |
| (513) 433-1245 | 
| Full Name | Dr Clifford Quinn Cabansag | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Addiction Medicine | 
| Location | 4302 Roosevelt Blvd, Middletown, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003065905 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 35.099392 (Ohio) | Primary | 
| Entity Name | Tcn Behavioral Health Services, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055  | 
| Entity Name | Pax Treatment Centers Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609351477 PECOS PAC ID: 9133460983 Enrollment ID: O20190404002312  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Clifford Quinn Cabansag, MD 4302 Roosevelt Blvd, Middletown, OH 45044-6697 Ph: (513) 433-1032  | Dr Clifford Quinn Cabansag, MD 4302 Roosevelt Blvd, Middletown, OH 45044-6697 Ph: (513) 433-1032  | 
Lotfi F Mamlouk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6730 Roosevelt Ave Ste 303, Middletown, OH 45005 Phone: 513-874-0486 Fax: 513-280-8868  | |
Ali Usmani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Mcknight Dr, Suite A, Middletown, OH 45044 Phone: 513-217-6400 Fax: 513-217-6037  | |
Scott Lawrence Zollett, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Center Dr, Suite 490, Middletown, OH 45005 Phone: 513-424-1291 Fax: 513-424-9422  | |
Stephen Houff, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Mcknight Dr, Middletown, OH 45044 Phone: 330-493-4443 Fax: 330-493-8677  | |
Stephen R Moore, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Summitt Sq, Middletown, OH 45042 Phone: 513-425-0533 Fax: 513-425-0527  | |
Gary C Brown, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Mcknight Dr, Suite A, Middletown, OH 45044 Phone: 513-217-6400 Fax: 513-217-6037  |