Gerald Mabongale Makobong, | |
410 W 10th Ave, Columbus, OH 43210-1240 | |
(614) 293-8000 | |
Not Available |
Full Name | Gerald Mabongale Makobong |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 410 W 10th Ave, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134797657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | LE-00032501 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0029173 (Ohio) | Primary |
Entity Name | Ohio Hospital For Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821186271 PECOS PAC ID: 3476588245 Enrollment ID: O20061219000012 |
Mailing Address | Practice Location Address |
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Gerald Mabongale Makobong, 410 W 10th Ave, Columbus, OH 43210-1240 Ph: () - | Gerald Mabongale Makobong, 410 W 10th Ave, Columbus, OH 43210-1240 Ph: (614) 293-8000 |
Ms. Kimberly Gaye Cyphert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 South Grant Avenue, Columbus, OH 43215 Phone: 614-566-9221 Fax: 614-566-8738 | |
Purvi K Patel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 Easton Cmns Ste 125, Columbus, OH 43219 Phone: 847-386-7744 | |
Amy Elizabeth Pietragallo, RN, MSN, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 181 Taylor Ave, Columbus, OH 43203 Phone: 614-293-7677 Fax: 614-293-2867 | |
Megan Lottes, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 N High St, Columbus, OH 43201 Phone: 866-389-2727 Fax: 401-652-9787 | |
Ashley Degutis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 S High St, Columbus, OH 43207 Phone: 614-274-1455 Fax: 614-274-1433 | |
Paige Kaple, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6001 E Broad St, Columbus, OH 43213 Phone: 614-234-6000 | |
Maria Streng, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000 |