| Fadel Alkacace, AA | |
|
29000 Center Ridge Rd, Westlake, OH 44145-5219 | |
| (330) 499-5700 | |
| Not Available |
| Full Name | Fadel Alkacace |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 29000 Center Ridge Rd, Westlake, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619599586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67.000379 (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 |
| 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 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Fadel Alkacace, AA 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 Ph: (440) 709-9150 | Fadel Alkacace, AA 29000 Center Ridge Rd, Westlake, OH 44145-5219 Ph: (330) 499-5700 |
Jay R Blackmur, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 | |
Jeffrey P Scavelli, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 | |
Dejan Zivkovic, MS Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 850 Columbia Rd, Westlake, OH 44145 Phone: 440-808-4000 | |
Chris E Thomascik, AA-C Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 | |
Jayati Thamilarasan, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 850 Columbia Rd, Westlake, OH 44145 Phone: 440-808-4000 Fax: 440-808-4010 | |
Michael S Kovach, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 850 Columbia Rd, Westlake, OH 44145 Phone: 440-808-4000 | |
Theodore K Brewer, AA-C Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 |