| Medoptions Of Ohio Llc | |
|
50 W Broad St Suite 1800 Columbus OH 43215-3301 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Medoptions Of Ohio Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 50 W Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medoptions Of Ohio Llc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Medoptions Of Ohio Llc 50 W Broad St Suite 1800 Columbus OH 43215-3301 Ph: (860) 788-6404 |
| NPI Number | 1629428974 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 5799064515 |
|---|---|
| Medicare Enrollment ID | O20161118002047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629428974 | NPI | - | NPPES |
| Provider Name | Michael Hewett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467472480 PECOS PAC ID: 0244275014 Enrollment ID: I20080915000276 |
| Provider Name | Frank Wood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447401849 PECOS PAC ID: 1052472966 Enrollment ID: I20081211000000 |
| Provider Name | Stefani Nike Parrisbalogun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083873673 PECOS PAC ID: 2567524408 Enrollment ID: I20081231000000 |
| Provider Name | Lisa R Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558636662 PECOS PAC ID: 1254592975 Enrollment ID: I20120405000319 |
| Provider Name | Lisamarie Pietragallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376946319 PECOS PAC ID: 0345564308 Enrollment ID: I20150121002289 |
| Provider Name | Ann M Hetzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922327105 PECOS PAC ID: 8123336948 Enrollment ID: I20150928002964 |
| Provider Name | Stacey M Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285024588 PECOS PAC ID: 4880993062 Enrollment ID: I20160422001531 |
| Provider Name | Holly Beth Kozee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467783159 PECOS PAC ID: 5496902603 Enrollment ID: I20160916001830 |
| Provider Name | Tiffany Nickie-hull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457503534 PECOS PAC ID: 7719268374 Enrollment ID: I20161220001150 |
| Provider Name | Bernice Ohene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073007126 PECOS PAC ID: 1951642644 Enrollment ID: I20190405001822 |
| Provider Name | Angela Ohene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811476914 PECOS PAC ID: 1254729171 Enrollment ID: I20211026003414 |
| Provider Name | Alicia Ottati |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174990972 PECOS PAC ID: 6204122187 Enrollment ID: I20220809001225 |
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