| Mary Wong, MD | |
| 6780 Mayfield Rd, Mayfield Hts, OH 44124-2203 | |
| (216) 449-4500 | |
| Not Available | 
| Full Name | Mary Wong | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Neurodevelopmental Disabilities | 
| Location | 6780 Mayfield Rd, Mayfield Hts, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417994195 | NPI | - | NPPES | 
| 942460636468 | Other | OH | CARESOURCE | 
| 2216444 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0008X | Pediatrics - Neurodevelopmental Disabilities | 35.078204 (Ohio) | Primary | 
| 208000000X | Pediatrics | 35.078204 (Ohio) | Secondary | 
| 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 | 
|---|---|
| Mary Wong, MD 2801 Martin Luther King Jr Dr, Cr-11, Cleveland, OH 44104-3815 Ph: (216) 448-6254 | Mary Wong, MD 6780 Mayfield Rd, Mayfield Hts, OH 44124-2203 Ph: (216) 449-4500 | 
| Marina B. Molinari-zuzek, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6780 Mayfield Rd, Mayfield Hts, OH 44124 Phone: 216-449-4500 | |
| Joey Matthew Korah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5800 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124 Phone: 440-544-1940 Fax: 440-544-1944 | |
| Dr. Anna Grinberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5850 Landerbrook Dr Ste 210, Mayfield Hts, OH 44124 Phone: 440-720-3888 Fax: 440-720-3882 | |
| Dr. Shakuntala Rao, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6770 Mayfield Rd, Suite #236, Mayfield Hts, OH 44124 Phone: 216-449-9471 Fax: 216-449-7311 | |
| Zane Saalouke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5850 Landerbrook Dr Ste 301, Mayfield Hts, OH 44124 Phone: 440-446-9991 Fax: 440-446-9998 |