| Vadhya Elivert, DO | |
|
5264 Lee Rd Ste 108, Maple Heights, OH 44137-1232 | |
| (216) 294-4440 | |
| (216) 249-6032 |
| Full Name | Vadhya Elivert |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5264 Lee Rd Ste 108, Maple Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649531997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34.02106 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 2024-02013 (North Carolina) | Primary |
| Entity Name | Dedicated Ohio Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922631019 PECOS PAC ID: 2769718659 Enrollment ID: O20200508000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Vadhya Elivert, DO 5264 Lee Rd Ste 108, Maple Heights, OH 44137-1232 Ph: (216) 294-4440 | Vadhya Elivert, DO 5264 Lee Rd Ste 108, Maple Heights, OH 44137-1232 Ph: (216) 294-4440 |
Todd Emmit Wagner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 21100 Southgate Park Blvd, Maple Heights, OH 44137 Phone: 216-663-6100 Fax: 216-395-1071 | |
Dr. Joseph Chester Orzechowski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 Fax: 216-249-6032 | |
Eugene S Balkovec, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15003 Turney Rd, Maple Heights, OH 44137 Phone: 216-640-9525 | |
David D Mccarther, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 Fax: 216-249-6032 | |
Dr. Diane Marie Kushnar, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 | |
Dr. Angela M Bennett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 Fax: 216-249-6032 |