Brenna Gibbons, | |
10701 East Blvd, Cleveland, OH 44106-1702 | |
(216) 791-3800 | |
Not Available |
Full Name | Brenna Gibbons |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10701 East Blvd, Cleveland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083286041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN.427191 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0029142 (Ohio) | Primary |
Entity Name | Lake Point Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235646191 PECOS PAC ID: 6002177342 Enrollment ID: O20180228002221 |
Mailing Address | Practice Location Address |
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Brenna Gibbons, 3220 Laura Ln, Westlake, OH 44145-5471 Ph: () - | Brenna Gibbons, 10701 East Blvd, Cleveland, OH 44106-1702 Ph: (216) 791-3800 |
Kristin R Johnson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Mrs. Tonya Renee Goings, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Suite Rc25, Cleveland, OH 44195 Phone: 216-444-2200 | |
Ms. Dana Anne Rubis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, G58, Cleveland, OH 44195 Phone: 216-444-5086 Fax: 216-444-7360 | |
Denise Louise Page, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2273 | |
Mrs. Maureen Patrice Mcgoff Allen, BSN-RN, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-5329 Fax: 216-445-1521 | |
Anne M Tomsich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Q10-1, Cleveland, OH 44195 Phone: 216-444-0415 Fax: 216-445-2267 | |
Mrs. Allison Leigh Pullum, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, C25, Cleveland, OH 44195 Phone: 216-445-1583 Fax: 216-444-9890 |