Phaedra Chatmon
Individual provider Active NPI Case Manager/Care Coordinator · Berea, OH
NPI 1649901430 · NPPES record last updated Jun 22, 2022
Key facts
- NPI
- 1649901430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 398 W Bagley Rd Ste 216
Berea, OH 44017-1312 - Phone
- (216) 340-0011
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Wellness Center | Current |
Accepting new patients |
Locations
398 W Bagley Rd
Ste 216
Berea, OH 44017
Phone (216) 340-0011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
398 W Bagley Rd Ste 216
Berea, OH 44017-1312
Mailing address
37164 Bolton Dr
North Ridgeville, OH 44039-8746
Other providers in Berea, OH
- Mary Canonico
- Brittni Cartagena
- Sarah Marie Castrigano
- Lorraine B Chapin
- Stephanie Charriez Rodriguez
- Breona Church
- Dana Cipra
- Christopher D. Ciryak
- City of Berea
- Candace Clark
All providers in Berea, 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 Jun 22, 2022. 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.