| Serenagroup Professional Services, P.C. | |
|
1 Akron General Ave Akron OH 44307-2432 | |
| (330) 344-5760 | |
| Not Available |
| Full Name | Serenagroup Professional Services, P.C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Akron General Ave, Akron, Ohio |
| Authorized Official Name and Position | Blair Flinn (VP OF PROFESSIONAL SERVICES) |
| Authorized Official Contact | 9134264995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenagroup Professional Services, P.C. Po Box 791 Carnegie PA 15106-0791 Ph: (412) 655-4362 | Serenagroup Professional Services, P.C. 1 Akron General Ave Akron OH 44307-2432 Ph: (330) 344-5760 |
| NPI Number | 1568816965 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/16/2021 |
| Medicare PECOS PAC ID | 4486947413 |
|---|---|
| Medicare Enrollment ID | O20170125002673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568816965 | NPI | - | NPPES |
| Provider Name | Erik J Lichtenberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750497327 PECOS PAC ID: 4789675182 Enrollment ID: I20040524000721 |
| Provider Name | Jacqueline M Dipierro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306814330 PECOS PAC ID: 8224027727 Enrollment ID: I20180625003143 |
| Provider Name | April Dawn Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669144846 PECOS PAC ID: 4183022486 Enrollment ID: I20211015002613 |
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