| Gericare Associates Inc | |
|
5157 Pleasant Ave Fairfield OH 45014-2622 | |
| (513) 863-4717 | |
| (513) 863-5118 |
| Full Name | Gericare Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5157 Pleasant Ave, Fairfield, Ohio |
| Authorized Official Name and Position | Shwetal G Desai (PRESIDENT) |
| Authorized Official Contact | 5138634717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gericare Associates Inc 5157 Pleasant Ave Fairfield OH 45014-2622 Ph: (513) 863-4717 | Gericare Associates Inc 5157 Pleasant Ave Fairfield OH 45014-2622 Ph: (513) 863-4717 |
| NPI Number | 1114115102 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 03/26/2019 |
| Medicare PECOS PAC ID | 5799699963 |
|---|---|
| Medicare Enrollment ID | O20031113000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114115102 | NPI | - | NPPES |
| 9337721 | Other | OH | MEDICARE PCAN |
| 1114115102 | Other | OH | MEDICARE NPI |
| 2837676 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shwetal Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083687248 PECOS PAC ID: 6709790884 Enrollment ID: I20031113000505 |
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