Mercedes Bagley
Individual provider Active NPI Case Manager/Care Coordinator · Fairlawn, OH
NPI 1083453203 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1083453203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3094 W Market St Ste 343
Fairlawn, OH 44333-3618 - Phone
- (234) 334-5589
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3094 W Market St Ste 343
Fairlawn, OH 44333-3618
Mailing address
3094 W Market St Ste 343
Fairlawn, OH 44333-3618
Phone (234) 334-5589
Other providers in Fairlawn, OH
- Andrew Dustin Aubley
- Douglas Andrew Auerbach
- Anna Ayoub
- Alyse Bachmann
- Rebecca S. Baden
- Rachel Lynn Bailey Nicholson
- Nicole Bailey
- Brianne Bair
- Leslie Baird
- Lauren Baker
All providers in Fairlawn, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.