Anita Petrovic, NP | |
1001 Lakeside Ave E Ste 1000, Cleveland, OH 44114-1162 | |
(216) 645-2829 | |
Not Available |
Full Name | Anita Petrovic |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 1001 Lakeside Ave E Ste 1000, Cleveland, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770915506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | COA.14887-NP (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest General Health Center | Middleburg heights, OH | Hospital |
University Hospitals Of Cleveland | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Primary Care Practices Inc | 3072417534 | 930 |
Entity Name | University Primary Care Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Entity Name | University Hospitals Cleveland Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043747454 PECOS PAC ID: 3274431879 Enrollment ID: O20170728000888 |
Mailing Address | Practice Location Address |
---|---|
Anita Petrovic, NP 19 Clearwater Dr, Brunswick, OH 44212-1535 Ph: (440) 669-6531 | Anita Petrovic, NP 1001 Lakeside Ave E Ste 1000, Cleveland, OH 44114-1162 Ph: (216) 645-2829 |
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