| Gemini Medical Llc | |
|
2001 Crocker Rd Suite 540 Westlake OH 44145-6966 | |
| (440) 835-0563 | |
| (440) 835-8434 |
| Full Name | Gemini Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 Crocker Rd, Westlake, Ohio |
| Authorized Official Name and Position | Sherri Lynn Carney (OWNER) |
| Authorized Official Contact | 4408350563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemini Medical Llc 2001 Crocker Rd Suite 540 Westlake OH 44145-6966 Ph: (440) 835-0563 | Gemini Medical Llc 2001 Crocker Rd Suite 540 Westlake OH 44145-6966 Ph: (440) 835-0563 |
| NPI Number | 1083894000 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 11/07/2007 |
| Medicare PECOS PAC ID | 8921099029 |
|---|---|
| Medicare Enrollment ID | O20040519000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083894000 | NPI | - | NPPES |
| 2456533 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35083660 (Ohio) | Primary |
| Provider Name | Sherri Lynn Carney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164413050 PECOS PAC ID: 1658362769 Enrollment ID: I20040520000014 |
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