Mariah Fornataro, in Canton, OH - Medicare Nurse Practitioner

Mariah Fornataro, is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Canton, Ohio. Her current practice location is 1320 Mercy Dr Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 489-1000.

Mariah Fornataro is licensed to practice in Ohio (license number PENDING) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730822545.

Contact Information

	Mariah Fornataro,
	1320 Mercy Dr Nw, Canton, OH 44708-2614
	(330) 489-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariah Fornataro
Gender	Female
Speciality	Nurse Practitioner - Critical Care Medicine
Location	1320 Mercy Dr Nw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730822545
Provider Enumeration Date: 04/19/2022
Last Update Date: 04/19/2022

Medicare PECOS Information:

PECOS PAC ID: 5698149730
Enrollment ID: I20230313002206

Medical Identifiers

Medical identifiers for Mariah Fornataro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730822545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	PENDING (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mariah Fornataro allows following entities to bill medicare on her behalf.

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	Cleveland Clinic Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366433195 PECOS PAC ID: 0547156796 Enrollment ID: O20040224001287

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mariah Fornataro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mariah Fornataro, 5151 Camp Rd, Ravenna, OH 44266-9394 Ph: (724) 971-8243	Mariah Fornataro, 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 489-1000

Reviews and Comments

Nurse Practitioner Nurses in Canton, OH

Mrs. Rachel Elizabeth Starr, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000
Chelsea Flight, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000
Kathleen Moore, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-588-4676
Taylor Meghan Moyer, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-7444 Fax: 330-363-7770
Jaime Marie Rennecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-5433 Fax: 330-363-7785
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911
Kenzie Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-9632

Mariah Fornataro, - Medicare Nurse Practitioner in Canton, OH