| Xcel Healing LLC | |
|
3570 Executive Dr Ste 201c Green OH 44685-6713 | |
| (330) 696-9430 | |
| Not Available |
| Full Name | Xcel Healing LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3570 Executive Dr Ste 201c, Green, Ohio |
| Authorized Official Name and Position | Luke Gaskins (OWNER) |
| Authorized Official Contact | 3306969430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xcel Healing LLC 3570 Executive Dr Ste 201c Green OH 44685-6713 | Xcel Healing LLC 3570 Executive Dr Ste 201c Green OH 44685-6713 Ph: (330) 696-9430 |
| NPI Number | 1134064272 |
|---|---|
| Provider Enumeration Date | 04/23/2026 |
| Last Update Date | 05/20/2026 |
| Certification Date | 05/20/2026 |
| Medicare PECOS PAC ID | 4880166651 |
|---|---|
| Medicare Enrollment ID | O20260611004696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134064272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Peter S Carrillo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063583193 PECOS PAC ID: 4688628506 Enrollment ID: I20050418000685 |
| Provider Name | Jacalyn a Brace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467645051 PECOS PAC ID: 3072602960 Enrollment ID: I20120928000124 |
| Provider Name | Marjorie R Hatszegi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205307170 PECOS PAC ID: 1850630336 Enrollment ID: I20190227002162 |
| Provider Name | Sadie Lindquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184376287 PECOS PAC ID: 3072982867 Enrollment ID: I20221219001074 |
Marathon Health, North Canton Oh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5399 Lauby Rd Ste 220, Green, OH 44720 Phone: 330-615-6498 |