| Regina M Stutzman, PA-C | |
|
44 Blaine Ave, Bedford, OH 44146-2709 | |
| (440) 735-3900 | |
| (330) 656-5901 |
| Full Name | Regina M Stutzman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 44 Blaine Ave, Bedford, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174691406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50001996 (Ohio) | Primary |
| Entity Name | Ues Geauga, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841242997 PECOS PAC ID: 6406876002 Enrollment ID: O20051128000779 |
| Entity Name | Ues Geneva LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689919029 PECOS PAC ID: 4789827064 Enrollment ID: O20130905000813 |
| Entity Name | Ues Ahuja LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467883934 PECOS PAC ID: 5496985467 Enrollment ID: O20140313001425 |
| Mailing Address | Practice Location Address |
|---|---|
| Regina M Stutzman, PA-C 9500 Mentor Avenue, Suite 100, Mentor, OH 44060-8713 Ph: (440) 352-4880 | Regina M Stutzman, PA-C 44 Blaine Ave, Bedford, OH 44146-2709 Ph: (440) 735-3900 |
Bryon Harrell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44 Blaine Ave, Bedford, OH 44146 Phone: 440-735-3900 Fax: 330-656-5901 |
James Karl Novotny Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 44 Blaine Ave, Bedford, OH 44146 Phone: 440-735-3900 |