| Matthew Stevenson Wayne, MD | |
|
12200 Fairhill Rd, Cleveland, OH 44120-1058 | |
| (216) 844-6300 | |
| Not Available |
| Full Name | Matthew Stevenson Wayne |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 12200 Fairhill Rd, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508845207 | NPI | - | NPPES |
| P00402008 | Other | OH | MEDICARE RAILROAD |
| 2073672 | Medicaid | OH | |
| 414697 | Other | OH | WELLCARE |
| 000000524532 | Other | OH | ANTHEM |
| 751025 | Other | OH | BUCKEYE |
| 000000221142 | Other | OH | UNISON |
| 2063672 | Medicaid | OH | |
| 5496574 | Other | OH | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-069734 (Ohio) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 35-069734 (Ohio) | Primary |
| Entity Name | Cnp Operating Co Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518386739 PECOS PAC ID: 8325263734 Enrollment ID: O20140626002603 |
| Entity Name | Pa Post Acute Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20240312002651 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Stevenson Wayne, MD 21076 Byron Rd, Shaker Hts, OH 44122-2915 Ph: (216) 844-6338 | Matthew Stevenson Wayne, MD 12200 Fairhill Rd, Cleveland, OH 44120-1058 Ph: (216) 844-6300 |
Julia Carroccio, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-4486 | |
Kelly A Richter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Dr. John Michael Surso, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Mary Evelyn Massie-story, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Mr. Wilfrido Reyes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3665 W 117th St, Cleveland, OH 44111 Phone: 216-251-5464 Fax: 216-251-5963 | |
Patricia H Moore, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-3944 Fax: 216-286-6341 | |
Rochele M Beachy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4071 Lee Rd, Metrohealth Lee-harvard Health Center, Cleveland, OH 44128 Phone: 216-957-1200 |