Alexis Rae Staff, | |
12557 Ravenwood Dr, Chardon, OH 44024-9009 | |
(440) 285-3568 | |
Not Available |
Full Name | Alexis Rae Staff |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 12557 Ravenwood Dr, Chardon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568113959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0031863 (Ohio) | Primary |
163W00000X | Registered Nurse | RN.456353 (Ohio) | Secondary |
Entity Name | Ravenwood Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730356296 PECOS PAC ID: 6901813922 Enrollment ID: O20060316000394 |
Mailing Address | Practice Location Address |
---|---|
Alexis Rae Staff, 1751 Blase Nemeth Rd, Painesville, OH 44077-4897 Ph: (440) 343-8718 | Alexis Rae Staff, 12557 Ravenwood Dr, Chardon, OH 44024-9009 Ph: (440) 285-3568 |
Laura Reed, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 Center St, Chardon, OH 44024 Phone: 440-286-9445 | |
Annamarie Salvador, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 | |
Jason John D'agata, APRN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 371 Karen Dr, Chardon, OH 44024 Phone: 440-321-9776 | |
Chunyan Mcelroy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Meadowlands Dr Apt D8, Chardon, OH 44024 Phone: 216-235-9335 | |
Amanda Hall, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 | |
Julia M Caschera, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13241 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-9166 Fax: 440-285-1806 | |
Mrs. Satinder Kaur Dhillon-dougher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12085 Pheasant Ct, Chardon, OH 44024 Phone: 813-417-6086 |