| Lisa A Kodek, CNP | |
|
12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | |
| (216) 581-0500 | |
| Not Available |
| Full Name | Lisa A Kodek |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 12300 Mccracken Rd, Garfield Hts, 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 |
|---|---|---|---|
| 1790762466 | NPI | - | NPPES |
| 2185844 | Medicaid | OH | |
| 000000345085 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP04700 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marymount Hospital Inc | 6507763661 | 13 |
| Entity Name | Marymount Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720031131 PECOS PAC ID: 6507763661 Enrollment ID: O20031217000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Kodek, CNP Po Box 73327n, Cleveland, OH 44193-1094 Ph: (440) 879-0081 | Lisa A Kodek, CNP 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 Ph: (216) 581-0500 |
Lee A Niro, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12300 Mccracken Rd, Garfield Hts, OH 44125 Phone: 216-581-0500 | |
Judith W Wilson, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13200 Mccracken Rd, Garfield Hts, OH 44125 Phone: 216-581-0500 | |
Leah Velick, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12000 Mccracken Rd, Suite # 201, Garfield Hts, OH 44125 Phone: 216-662-5600 | |
Mrs. Sheila Ann Matosky, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12300 Mccracken Rd, Garfield Hts, OH 44125 Phone: 216-587-8724 Fax: 216-518-5626 | |
Ellen M Iacovone, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12300 Mccracken Rd, Garfield Hts, OH 44125 Phone: 216-581-0500 | |
Stephanie Lundberg, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12300 Mccracken Rd, Garfield Hts, OH 44125 Phone: 216-581-0500 | |
Kathleen A Hebebrand, MSN,RN,NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12000 Mccracken Rd, Suite 550, Garfield Hts, OH 44125 Phone: 216-663-8686 Fax: 216-663-2153 |