| Lauren Wichman, | |
|
850 Columbia Rd, Westlake, OH 44145-1493 | |
| (866) 320-4587 | |
| Not Available |
| Full Name | Lauren Wichman |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Sports Medicine |
| Location | 850 Columbia Rd, Westlake, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831728765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 35.147572 (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 |
|---|---|
| Lauren Wichman, 5555 Transportation Blvd, Garfield Heights, OH 44125-5371 Ph: (877) 440-8326 | Lauren Wichman, 850 Columbia Rd, Westlake, OH 44145-1493 Ph: (866) 320-4587 |
Dr. Robert John Krajcik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29325 Health Campus Dr, Suite 3, Westlake, OH 44145 Phone: 440-414-9400 Fax: 440-808-3618 | |
Dr. Julie Davis Kayes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29325 Health Campus Dr Ste 3, Westlake, OH 44145 Phone: 440-414-9400 Fax: 216-201-5591 | |
Dr. Matthew C. Blazek, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 29257 Center Ridge Rd, Westlake, OH 44145 Phone: 440-899-7677 Fax: 440-899-7667 | |
Lawrence K Lief, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26908 Detroit Rd, Suite 201, Westlake, OH 44145 Phone: 440-777-3500 Fax: 440-871-6726 | |
Candace Folley Zubricky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25200 Center Ridge Rd, Suite 2000, Westlake, OH 44145 Phone: 440-331-3321 Fax: 440-331-3373 | |
Tina M Black, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Columbia Rd, Westlake, OH 44145 Phone: 440-899-0900 Fax: 440-899-0976 | |
Dr. Satesh Waghray, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25651 Detroit Rd #304, Westlake, OH 44145 Phone: 216-383-0100 Fax: 216-383-6481 |