| Federman Wellcare, LLC | |
|
3425 Executive Pkwy Ste 117 Toledo OH 43606-1333 | |
| (419) 469-2102 | |
| (419) 214-5850 |
| Full Name | Federman Wellcare, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3425 Executive Pkwy Ste 117, Toledo, Ohio |
| Authorized Official Name and Position | Susan Michelle Federman (PHYSICIAN-OWNER) |
| Authorized Official Contact | 4194692102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Federman Wellcare, LLC 3425 Executive Pkwy Ste 117 Toledo OH 43606-1333 | Federman Wellcare, LLC 3425 Executive Pkwy Ste 117 Toledo OH 43606-1333 Ph: (419) 469-2102 |
| NPI Number | 1891649521 |
|---|---|
| Provider Enumeration Date | 02/20/2026 |
| Last Update Date | 02/20/2026 |
| Certification Date | 02/20/2026 |
| Medicare PECOS PAC ID | 3870065410 |
|---|---|
| Medicare Enrollment ID | O20260616000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891649521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Susan M Federman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063405033 PECOS PAC ID: 8628105624 Enrollment ID: I20100422001152 |
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