| Dr Sandra M Fakult, MD | |
|
3909 Orange Pl, #2100, Orange Village, OH 44122-4478 | |
| (216) 896-1800 | |
| (216) 896-1801 |
| Full Name | Dr Sandra M Fakult |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 3909 Orange Pl, Orange Village, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881636462 | NPI | - | NPPES |
| 2100032 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD464316 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | 35-069995 (Ohio) | Primary |
| Entity Name | American Current Care Of Ohio Pa Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023292943 PECOS PAC ID: 0042356073 Enrollment ID: O20091006000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sandra M Fakult, MD Po Box 74224, Cleveland, OH 44194-0002 Ph: (216) 383-6480 | Dr Sandra M Fakult, MD 3909 Orange Pl, #2100, Orange Village, OH 44122-4478 Ph: (216) 896-1800 |
David M Bonnet, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3909 Orange Place #2500, Orange Village, OH 44122 Phone: 216-383-0100 Fax: 216-383-6481 | |
Barbara Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 Orange Place, Suite 3300, Orange Village, OH 44122 Phone: 216-378-4144 |