| Wellbe Senior Medical Ohio LLC | |
|
6480 Rockside Woods Blvd S Ste 330 Independence OH 44131-2222 | |
| (312) 776-2410 | |
| Not Available |
| Full Name | Wellbe Senior Medical Ohio LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6480 Rockside Woods Blvd S Ste 330, Independence, Ohio |
| Authorized Official Name and Position | Iyad Houshan (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 7022362929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellbe Senior Medical Ohio LLC 225 W Washington St Ste 1700 Chicago IL 60606-3404 Ph: (312) 776-2422 | Wellbe Senior Medical Ohio LLC 6480 Rockside Woods Blvd S Ste 330 Independence OH 44131-2222 Ph: (312) 776-2410 |
| NPI Number | 1497308456 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Medicare PECOS PAC ID | 7719319896 |
|---|---|
| Medicare Enrollment ID | O20191111001502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497308456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Linda L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578510855 PECOS PAC ID: 8123096872 Enrollment ID: I20040920001322 |
| Provider Name | Steven Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770582686 PECOS PAC ID: 3072523778 Enrollment ID: I20060425000830 |
| Provider Name | Ujwala Pagedar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871627331 PECOS PAC ID: 5193861953 Enrollment ID: I20091007000770 |
| Provider Name | Elisha E Pelland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972832491 PECOS PAC ID: 6002959814 Enrollment ID: I20100202000524 |
| Provider Name | Michael N Huber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114954393 PECOS PAC ID: 6507763166 Enrollment ID: I20100524000253 |
| Provider Name | Debra M Fader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740584143 PECOS PAC ID: 4587600531 Enrollment ID: I20110120000986 |
| Provider Name | Dagogo Opusunju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720242811 PECOS PAC ID: 0941385124 Enrollment ID: I20141223001869 |
| Provider Name | Sherri Bartolucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700261971 PECOS PAC ID: 8224346036 Enrollment ID: I20160523001142 |
| Provider Name | Edeisha E Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912126897 PECOS PAC ID: 5890085716 Enrollment ID: I20160606002304 |
| Provider Name | Stephanie Marie Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846517 PECOS PAC ID: 6406164714 Enrollment ID: I20160919001420 |
| Provider Name | Stacie L Hertzsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851824916 PECOS PAC ID: 1557648557 Enrollment ID: I20170428001813 |
| Provider Name | Lesley a Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591373 PECOS PAC ID: 1557620622 Enrollment ID: I20180117002328 |
| Provider Name | Jennifer Roscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427419985 PECOS PAC ID: 6709173644 Enrollment ID: I20180119001209 |
| Provider Name | Hailey E Brogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083117766 PECOS PAC ID: 6507129491 Enrollment ID: I20180405001518 |
| Provider Name | Susan Renee Billetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992202824 PECOS PAC ID: 6204182256 Enrollment ID: I20180703003226 |
| Provider Name | Michele L Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497241665 PECOS PAC ID: 7810247715 Enrollment ID: I20180913001000 |
| Provider Name | Krista Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811477797 PECOS PAC ID: 4587916424 Enrollment ID: I20181004000768 |
| Provider Name | Jenna Kriege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083194229 PECOS PAC ID: 4183977192 Enrollment ID: I20190823000911 |
| Provider Name | John Michael Humienny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013368588 PECOS PAC ID: 0648603068 Enrollment ID: I20191125002483 |
| Provider Name | Leah Megan Himmelrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598306318 PECOS PAC ID: 2062849961 Enrollment ID: I20200304002356 |
| Provider Name | Lora Karg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275179129 PECOS PAC ID: 8921436304 Enrollment ID: I20200318000654 |
| Provider Name | Elizabeth a Fulkroad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487149837 PECOS PAC ID: 1254762040 Enrollment ID: I20200511003524 |
| Provider Name | Lora Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154917292 PECOS PAC ID: 4486067980 Enrollment ID: I20201230000310 |
| Provider Name | Melissa Beathard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285225763 PECOS PAC ID: 2264832914 Enrollment ID: I20210616003602 |
| Provider Name | Jessica Elan Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841954682 PECOS PAC ID: 9032508502 Enrollment ID: I20211123000833 |
| Provider Name | Joyce Leann Roper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932604667 PECOS PAC ID: 9133501430 Enrollment ID: I20220803001625 |
| Provider Name | Kelli Mulvaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083347025 PECOS PAC ID: 8921484809 Enrollment ID: I20220929002199 |
| Provider Name | William Macomber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568055598 PECOS PAC ID: 5395102594 Enrollment ID: I20230602001190 |
| Provider Name | Evelyn a Armah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912619917 PECOS PAC ID: 7517494636 Enrollment ID: I20241231000600 |
| Provider Name | Andrew Carlo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265870349 PECOS PAC ID: 3779711700 Enrollment ID: I20250516003048 |
| Provider Name | Christina Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780928630 PECOS PAC ID: 9133624638 Enrollment ID: I20250925002044 |
August Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 Hickory Nut Ln, Independence, OH 44131 Phone: 216-524-2521 Fax: 216-524-2521 |
Cleveland Clinic Home Care Servic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6801 Brecksville Rd, Suite 10, Independence, OH 44131 Phone: 216-444-9819 Fax: 216-520-1973 |
Cleveland Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5001 Rockside Rd, Independence, OH 44131 Phone: 216-986-4830 |
Kavanah Health Care LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Oak Tree Blvd, Independence, OH 44131 Phone: 310-933-5688 Fax: 310-616-5188 |
The Cleveland Clinic Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5051 W Creek Rd, Ste 501, Independence, OH 44131 Phone: 216-444-2273 |
Marymount Primary Care Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 Rockside Rd, Suite 2100, Independence, OH 44131 Phone: 216-573-1300 Fax: 216-503-5005 |