| Jamie R Ethridge, CNP | |
|
20800 Center Ridge Rd, Ste 101, Rocky River, OH 44116-4312 | |
| (440) 331-8744 | |
| Not Available |
| Full Name | Jamie R Ethridge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 20800 Center Ridge Rd, Rocky River, 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 |
|---|---|---|---|
| 1548633985 | NPI | - | NPPES |
| 0163000 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 17610-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic Foundation | 1850203555 | 5680 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie R Ethridge, CNP 27025 Oakwood Cir, Apt 128, Olmsted Falls, OH 44138-3619 Ph: (440) 225-4711 | Jamie R Ethridge, CNP 20800 Center Ridge Rd, Ste 101, Rocky River, OH 44116-4312 Ph: (440) 331-8744 |
Tracy Watson, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1250 Linda St, Suite 103, Rocky River, OH 44116 Phone: 440-250-3560 Fax: 330-670-8569 | |
Bethany Farrell, MSN, RN, APRN.CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19895 Detroit Rd, Rocky River, OH 44116 Phone: 440-356-5500 | |
Summer Alia Blair, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Linda St, Suite 103, Rocky River, OH 44116 Phone: 440-250-3560 Fax: 216-712-7066 | |
Mrs. Daria Renata Szyjko, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19354 Detroit Rd Spc A-108, Rocky River, OH 44116 Phone: 440-595-0773 | |
Miss Sara Bonanno, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19324 Detroit Rd # Brr193, Rocky River, OH 44116 Phone: 440-356-3640 | |
Ms. Alisa Melanie Duncan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2666 Lakeview Ave, Rocky River, OH 44116 Phone: 440-570-4264 | |
Laura Tramer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19800 Detroit Rd, Rocky River, OH 44116 Phone: 216-536-1440 |