| Michael A Cerullo, MD | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-9000 | |
| Not Available |
| Full Name | Michael A Cerullo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 25 Years |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649345026 | NPI | - | NPPES |
| 01-0693 | Other | OH | CARF CERTIFICATION |
| H297803 | Other | OH | MEDICARE INDIVIDUAL PTAN |
| 0074946 | Other | OHIO DEPARTMENT MENTAL HEALTH (ODMH) | |
| P00356887 | Other | OH | MEDICARE RAILROAD |
| 0074861 | Other | OH | OHIO DEPARTMENT ALCOHOL DRUG SERVICES (ODADAS) |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Monroe Clinic, Inc. | 3072425495 | 169 |
| Good Samaritan Regional Health Center | 1658272059 | 38 |
| Ssm Health Care St Louis | 7810800737 | 155 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | The Monroe Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Cerullo, MD 4464 S Dixie Hwy, Middletown, OH 45005-5464 Ph: (513) 649-8008 | Michael A Cerullo, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Dr. Antonio Hernando Iglesias, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-5822 | |
James Wu, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
James Eaton, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-2687 | |
Rachel Judith Davis, PSYD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, Loyola University Medical Center 101-1740, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033 | |
Nadia Alvi, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3750 | |
Katie Margaret Bukiri, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Michael Joel Schneck, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, (maguire Center, Rm. 2700), Maywood, IL 60153 Phone: 708-216-2662 Fax: 708-216-5617 |