| Maria Aileenmichelle P Medina, MD | |
|
12000 Mccracken Rd, Suite 206, Garfield Heights, OH 44125-2964 | |
| (216) 584-7840 | |
| (216) 584-7860 |
| Full Name | Maria Aileenmichelle P Medina |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 12000 Mccracken Rd, Garfield Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366463515 | NPI | - | NPPES |
| 2741322 | Medicaid | OH | |
| 400779 | Other | OH | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 74782 (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 |
|---|---|
| Maria Aileenmichelle P Medina, MD 12000 Mccracken Rd, Suite 206, Garfield Heights, OH 44125-2964 Ph: (216) 584-7840 | Maria Aileenmichelle P Medina, MD 12000 Mccracken Rd, Suite 206, Garfield Heights, OH 44125-2964 Ph: (216) 584-7840 |
Mr. Shashikant P Shah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9700 Garfield Blvd, #103, Garfield Heights, OH 44125 Phone: 216-641-0600 Fax: 216-641-0628 | |
Dr. Emily Qin, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 5350 Transportation Blvd Ste 1, Garfield Heights, OH 44125 Phone: 216-475-8844 Fax: 216-475-3816 |