Alexandrea K Fistek, | |
36100 Euclid Ave Ste 170, Willoughby, OH 44094-4475 | |
(440) 602-6737 | |
Not Available |
Full Name | Alexandrea K Fistek |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 36100 Euclid Ave Ste 170, Willoughby, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760116206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN.CNP.0031977 (Ohio) | Primary |
163W00000X | Registered Nurse | RN.399650 (Ohio) | Secondary |
Entity Name | Lake Hospital System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
Mailing Address | Practice Location Address |
---|---|
Alexandrea K Fistek, 36100 Euclid Ave #170, Willoughby, OH 44094 Ph: (440) 602-6737 | Alexandrea K Fistek, 36100 Euclid Ave Ste 170, Willoughby, OH 44094-4475 Ph: (440) 602-6737 |
Samantha C Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 866-389-2727 | |
Robert William Jonath, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Avenue, Willoughby, OH 44094 Phone: 440-953-9600 | |
Kimberly Vanik, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36100 Euclid Ave, Suite 270, Willoughby, OH 44094 Phone: 440-946-8300 | |
Ashley King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Arbor Dr, Willoughby, OH 44094 Phone: 440-339-0218 | |
Shanon Lee Mekesa Ellis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 440-946-7252 | |
Alexandria Uher, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36100 Euclid Ave Ste 350, Willoughby, OH 44094 Phone: 440-449-1540 | |
Lisa Kuhen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36001 Euclid Ave, Suite C6, Willoughby, OH 44094 Phone: 440-946-0053 Fax: 440-946-1812 |