| Michael Clifford Carlisle, DO | |
|
13207 Ravenna Rd, Senior Assessment Program, Chardon, OH 44024-7032 | |
| (216) 844-2400 | |
| (440) 285-6247 |
| Full Name | Michael Clifford Carlisle |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 13207 Ravenna Rd, Chardon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063581395 | NPI | - | NPPES |
| 2854817 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 34008772 (Ohio) | Primary |
| Entity Name | State Of Ohio Office Of Budget And Management State Accounting |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023082716 PECOS PAC ID: 0143133181 Enrollment ID: O20031202000209 |
| Entity Name | Laurelwood Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346282001 PECOS PAC ID: 4789589565 Enrollment ID: O20031204001209 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Clifford Carlisle, DO 24701 Euclid Ave, Third Floor Billing Services, Euclid, OH 44117-1714 Ph: (216) 844-2400 | Michael Clifford Carlisle, DO 13207 Ravenna Rd, Senior Assessment Program, Chardon, OH 44024-7032 Ph: (216) 844-2400 |
Dr. Martin Macklin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-269-6595 | |
Dr. Gary Thomas Pagano, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552 | |
James Robert Rodio, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552 | |
Dr. Aamir Hussain, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13170 Ravenna Rd Bldg Suite102, Chardon, OH 44024 Phone: 440-285-2888 Fax: 440-285-2895 | |
Mark B Rorick, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13170 Ravenna Rd Ste 102, Chardon, OH 44024 Phone: 440-285-2888 | |
Ms. Vlasta Vyroubal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552 |