| Cera Koppel, CCC-SLP | |
|
6000 Youngstown Warren Rd, Niles, OH 44446-4624 | |
| (330) 505-2800 | |
| Not Available |
| Full Name | Cera Koppel |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 7 Years |
| Location | 6000 Youngstown Warren Rd, Niles, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316720360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP.14114 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patriot Outpatient Therapy, Llc | 7315461795 | 16 |
| Provider Name | Patriot Outpatient Therapy, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609672658 PECOS PAC ID: 7315461795 Enrollment ID: O20250407002927 |
| Mailing Address | Practice Location Address |
|---|---|
| Cera Koppel, CCC-SLP 230 Rosemont Ave, Youngstown, OH 44515-3221 Ph: (330) 219-9482 | Cera Koppel, CCC-SLP 6000 Youngstown Warren Rd, Niles, OH 44446-4624 Ph: (330) 505-2800 |
Ruth Brunet, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 950 Youngstown Warren Rd Ste A, Niles, OH 44446 Phone: 330-505-1606 |
Kendra Harper, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 950 Youngstown Warren Rd Ste C, Niles, OH 44446 Phone: 330-505-1606 |
Maegn Holbrook, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6000 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-505-2800 |
Lisa Pellegrini, CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 918 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-505-1606 Fax: 330-505-2621 |
Abigail Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6000 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-505-2811 |
Cassandra Marie Shearer, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 950 Youngstown Warren Rd Ste A, Niles, OH 44446 Phone: 330-505-1606 |
Lisa M Direnzo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6000 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-518-6543 |