Amanda West, | |
1295 Black Sea Rd, Jefferson, OH 44047-9613 | |
(440) 969-4173 | |
(216) 201-7331 |
Full Name | Amanda West |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1295 Black Sea Rd, Jefferson, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134865637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0033927 (Ohio) | Primary |
163WH0200X | Registered Nurse - Home Health | RN.367589 (Ohio) | Secondary |
Entity Name | University Hospitals Geneva Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700261807 PECOS PAC ID: 1658568803 Enrollment ID: O20150918001686 |
Mailing Address | Practice Location Address |
---|---|
Amanda West, 1295 Black Sea Rd, Jefferson, OH 44047-9613 Ph: (440) 969-4173 | Amanda West, 1295 Black Sea Rd, Jefferson, OH 44047-9613 Ph: (440) 969-4173 |
Diana Bucher, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 E Beech St, Jefferson, OH 44047 Phone: 440-576-0060 | |
Matthew Scott Barber, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28 Dorset Rd, Jefferson, OH 44047 Phone: 440-576-4455 | |
Mark Steven Selzer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 78 W Jefferson St, Jefferson, OH 44047 Phone: 440-536-1636 |