Lydia Bakaki, | |
133 Stonefield Dr, Berea, OH 44017-3129 | |
(440) 625-0955 | |
Not Available |
Full Name | Lydia Bakaki |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 133 Stonefield Dr, Berea, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952051922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0031060 (Ohio) | Primary |
364SF0001X | Clinical Nurse Specialist - Family Health | 0031060 (Ohio) | Secondary |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
Mailing Address | Practice Location Address |
---|---|
Lydia Bakaki, 100 Washington Ave S Ste 1210, Minneapolis, MN 55401-2104 Ph: (866) 492-5336 | Lydia Bakaki, 133 Stonefield Dr, Berea, OH 44017-3129 Ph: (440) 625-0955 |
Jessica Shattuck, APRN-CNM, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Slippery Rock Ln, Berea, OH 44017 Phone: 440-610-3710 | |
Ciara Pruitt, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 Front St, Berea, OH 44017 Phone: 440-523-9966 Fax: 216-584-2895 | |
Amanda Cafarelli De Leon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 563 W Bagley Rd, Berea, OH 44017 Phone: 440-234-8455 | |
Miss Tara Mcclure, CN-P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Slippery Rock Ln, Berea, OH 44017 Phone: 216-544-0652 | |
Lauren Ethel Bara, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 Eastland Rd, Berea, OH 44017 Phone: 440-826-2178 Fax: 440-826-3382 | |
Tyecia Stevens, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 398 W Bagley Rd Ste 12, Berea, OH 44017 Phone: 216-340-0005 | |
Keara Robertson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 W Bagley Rd, Berea, OH 44017 Phone: 440-298-8007 |