Jeanine R Willis, CNP | |
18099 Lorain Ave Ste 445, Cleveland, OH 44111-5610 | |
(440) 886-1800 | |
Not Available |
Full Name | Jeanine R Willis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 18099 Lorain Ave Ste 445, 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 |
---|---|---|---|
1356776975 | NPI | - | NPPES |
0096370 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA.15100-NP (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fairview Hospital | Cleveland, OH | Hospital |
Cleveland Clinic | Cleveland, OH | Hospital |
Cleveland Clinic Avon Hospital | Avon, OH | Hospital |
Marymount Hospital | Garfield heights, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleveland Clinic Foundation | 1850203555 | 5680 |
Comprehensive Pain Care Center, Inc | 4385682624 | 4 |
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 |
Entity Name | Wooster Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
Entity Name | Emh Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841299039 PECOS PAC ID: 7517931389 Enrollment ID: O20040826000069 |
Entity Name | Comprehensive Pain Care Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124095112 PECOS PAC ID: 4385682624 Enrollment ID: O20050419000093 |
Mailing Address | Practice Location Address |
---|---|
Jeanine R Willis, CNP 18099 Lorain Ave Ste 445, Cleveland, OH 44111-5610 Ph: (440) 886-1800 | Jeanine R Willis, CNP 18099 Lorain Ave Ste 445, Cleveland, OH 44111-5610 Ph: (440) 886-1800 |
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