Chaitali Amin, | |
455 Executive Campus Dr, Westerville, OH 43082-8870 | |
(614) 722-2000 | |
Not Available |
Full Name | Chaitali Amin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 455 Executive Campus Dr, Westerville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720620941 | NPI | - | NPPES |
0374988 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.024776 (Ohio) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.024776 (Ohio) | Primary |
Entity Name | Children's Surgical Associates, Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417905324 PECOS PAC ID: 1254328511 Enrollment ID: O20040428000888 |
Mailing Address | Practice Location Address |
---|---|
Chaitali Amin, 700 Children's Drive, Columbus, OH 43205-2664 Ph: (614) 722-5872 | Chaitali Amin, 455 Executive Campus Dr, Westerville, OH 43082-8870 Ph: (614) 722-2000 |
Alison Russolillo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 477 Cooper Rd, Westerville, OH 43081 Phone: 614-464-0788 | |
Jenna L Birdsell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Bishop Dr, Westerville, OH 43081 Phone: 614-392-5933 Fax: 614-474-1515 | |
Patty M Anderson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Commerce Park Dr, Westerville, OH 43082 Phone: 614-580-7958 | |
Shreya Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7345 State Route 3, Westerville, OH 43082 Phone: 614-794-5560 | |
Jessica Fournier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Commerce Park Dr, Westerville, OH 43082 Phone: 614-360-2600 | |
Jayme Hill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Commerce Park Dr, Westerville, OH 43082 Phone: 614-898-3006 Fax: 614-898-3023 | |
Mrs. Christina Diane Cherry, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 477 Cooper Rd Ste 320, Westerville, OH 43081 Phone: 380-201-3390 |