Jacqueline Groth, APRN FNP-C | |
18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | |
(440) 816-5600 | |
Not Available |
Full Name | Jacqueline Groth |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 18697 Bagley Rd, Middleburg Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689043408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 397399 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0029732 (Ohio) | Primary |
Entity Name | Community Hospitalist Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538236872 PECOS PAC ID: 5496648123 Enrollment ID: O20040205000697 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Groth, APRN FNP-C 240 Montview Dr, Medina, OH 44256-2912 Ph: (330) 321-9849 | Jacqueline Groth, APRN FNP-C 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 Ph: (440) 816-5600 |
Laura Pesetsky, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 Fax: 440-879-0084 | |
Halle Lynch, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6900 Pearl Rd, Middleburg Heights, OH 44130 Phone: 440-845-0900 Fax: 440-842-9911 | |
Mary K Pallotta, CNP, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7255 Old Oak Blvd, Middleburg Heights, OH 44130 Phone: 440-816-2525 Fax: 440-816-5437 | |
Andrea Phillips, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7271 Engle Rd Ste 307, Middleburg Heights, OH 44130 Phone: 216-644-3852 | |
Brian Tomcany Sr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7800 Pearl Rd, Middleburg Heights, OH 44130 Phone: 440-725-0576 | |
Mrs. Debra Defranco, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16600 W Sprague Rd Ste 120, Middleburg Heights, OH 44130 Phone: 440-826-0500 | |
Shantell Reid, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7225 Old Oak Blvd Ste 210, Middleburg Heights, OH 44130 Phone: 440-816-2761 Fax: 440-816-8065 |