Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madelene Eve Lussier, PA-C

Individual provider Physician Assistant · NPI 1639054463

Madelene Eve Lussier, PA-C is a Physician Assistant in Mayfield Heights, Ohio. Qualified in 2025, 1 year ago. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone: (724) 264-7843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009505RX (OH)

Record details

NPI number1639054463
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

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