| Matthew Kacir, MD | |
| 
					2535 Hale St, Ste A, Avon, OH 44011-1856  | |
| (440) 934-8810 | |
| (440) 934-8811 | 
| Full Name | Matthew Kacir | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 2535 Hale St, 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 | 
|---|---|---|---|
| 1477555357 | NPI | - | NPPES | 
| 2486813 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 35084215 (Ohio) | Primary | 
| Entity Name | University Primary Care Practices Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Kacir, MD 26908 Detroit Rd, Suite 301, Westlake, OH 44145-2398 Ph: (440) 617-1823  | Matthew Kacir, MD 2535 Hale St, Ste A, Avon, OH 44011-1856 Ph: (440) 934-8810  | 
Paula Mary Farner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36595 Detroit Rd, Avon, OH 44011 Phone: 440-934-4070 Fax: 440-934-4884  | |
Dr. Jennifer Rose Depalma-duersch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36320 Ravinia Ln, Avon, OH 44011 Phone: 513-373-0100  | |
Dr. Andrea D Preston, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 36901 American Way, Avon, OH 44011 Phone: 440-899-5550  | |
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  |