| Dr Andrea D Preston, MD | |
| 
					36901 American Way, Avon, OH 44011-4057  | |
| (440) 899-5550 | |
| Not Available | 
| Full Name | Dr Andrea D Preston | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 36901 American Way, Avon, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558450460 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 28169 (South Carolina) | Secondary | 
| 208000000X | Pediatrics | 2008-00353 (North Carolina) | Secondary | 
| 208000000X | Pediatrics | 35.099262 (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  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Andrea D Preston, MD 80 Maplecliff Dr, Avon Lake, OH 44012-1621 Ph: (828) 989-3076  | Dr Andrea D Preston, MD 36901 American Way, Avon, OH 44011-4057 Ph: (440) 899-5550  | 
Paula Mary Farner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36595 Detroit Rd, Avon, OH 44011 Phone: 440-934-4070 Fax: 440-934-4884  | |
Matthew Kacir, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2535 Hale St, Ste A, Avon, OH 44011 Phone: 440-934-8810 Fax: 440-934-8811  | |
Dr. Jennifer Rose Depalma-duersch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36320 Ravinia Ln, Avon, OH 44011 Phone: 513-373-0100  | |
Dr. Alice G Mcintyre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36901 American Way, Suite C, Avon, OH 44011 Phone: 440-899-5550 Fax: 440-899-5674  | |
Jennifer M Carandang, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 36711 American Way Ste A, Avon, OH 44011 Phone: 440-653-8091 Fax: 440-653-8089  |