| Comprehensive Primary Care And Behavioral Health Llc | |
|
45001 Mather Ln Chagrin Falls OH 44022-6658 | |
| (216) 870-6255 | |
| Not Available |
| Full Name | Comprehensive Primary Care And Behavioral Health Llc |
|---|---|
| Speciality | General Practice |
| Location | 45001 Mather Ln, Chagrin Falls, Ohio |
| Authorized Official Name and Position | Natalie Ferris Barbastefano (OWNER) |
| Authorized Official Contact | 2168706255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Primary Care And Behavioral Health Llc 45001 Mather Ln Chagrin Falls OH 44022-6658 Ph: () - | Comprehensive Primary Care And Behavioral Health Llc 45001 Mather Ln Chagrin Falls OH 44022-6658 Ph: (216) 870-6255 |
| NPI Number | 1730634411 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 09/15/2017 |
| Medicare PECOS PAC ID | 2668750423 |
|---|---|
| Medicare Enrollment ID | O20161028001447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730634411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Donato Borrillo |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104822170 PECOS PAC ID: 8628158870 Enrollment ID: I20080522000330 |
| Provider Name | Natalie Ann Ferris Barbastefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265741987 PECOS PAC ID: 4284821059 Enrollment ID: I20101206000599 |
| Provider Name | Anita L Groeschke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881675049 PECOS PAC ID: 1456306208 Enrollment ID: I20151105001202 |
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