| Joshua Jay Black, APRN, PMHNP-BC | |
|
807 E Washington St Ste 220, Medina, OH 44256-3330 | |
| (330) 536-3746 | |
| Not Available |
| Full Name | Joshua Jay Black |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 807 E Washington St Ste 220, Medina, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669024246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.025127 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Canton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alcove Ventures Llc | 1456669605 | 52 |
| P360 Care Services Pllc Dba Psych 360 | 0244624633 | 13 |
| Entity Name | Alcove Ventures Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093191322 PECOS PAC ID: 1456669605 Enrollment ID: O20151007002805 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Jay Black, APRN, PMHNP-BC 13154 Navarre Rd Sw, Beach City, OH 44608-9749 Ph: (330) 417-9497 | Joshua Jay Black, APRN, PMHNP-BC 807 E Washington St Ste 220, Medina, OH 44256-3330 Ph: (330) 536-3746 |
Margaret Hosfield Maisel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5075 Windfall Rd, Medina, OH 44256 Phone: 330-722-4771 Fax: 330-722-5266 | |
Jessica Gutwein, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-721-5700 | |
Becky Coyner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E. Washington Street, Medina, OH 44256 Phone: 330-721-4955 | |
Ashley Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3567 Reserve Commons Dr Ste 100, Medina, OH 44256 Phone: 330-664-9250 | |
Caroline Molony, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3593 Reserve Commons Drive, Medina, OH 44256 Phone: 330-536-3746 | |
Cheryl Ann Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St Ste 2f, Medina, OH 44256 Phone: 330-723-7999 Fax: 330-764-9907 | |
Holly Zienkowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-466-6919 |