Crystal Michelle Moga, | |
2500 Metrohealth Dr, Cleveland, OH 44109-1900 | |
(216) 778-7800 | |
Not Available |
Full Name | Crystal Michelle Moga |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2500 Metrohealth Dr, 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 |
---|---|---|---|
1346867371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | APRN.CNP.025916 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Metrohealth System | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Metrohealth System | 8628982949 | 1029 |
Entity Name | The Metrohealth System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
Mailing Address | Practice Location Address |
---|---|
Crystal Michelle Moga, 2500 Metrohealth Dr, Cleveland, OH 44109-1900 Ph: (440) 832-6134 | Crystal Michelle Moga, 2500 Metrohealth Dr, Cleveland, OH 44109-1900 Ph: (216) 778-7800 |
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