Mrs Jennifer L Fautas, ACNS-BC | |
7067 Tiffany Blvd, Suite 230, Youngstown, OH 44514-1993 | |
(330) 758-2748 | |
(330) 758-3282 |
Full Name | Mrs Jennifer L Fautas |
---|---|
Gender | Female |
Speciality | Certified Clinical Nurse Specialist (cns) |
Experience | 11 Years |
Location | 7067 Tiffany Blvd, Youngstown, 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 |
---|---|---|---|
1235568403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SA2100X | Clinical Nurse Specialist - Acute Care | 15347NS (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triad Health Services Llc | 9032367917 | 191 |
Entity Name | Triad Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer L Fautas, ACNS-BC 1320 Mercy Nwdr, Canton, OH 44708-2614 Ph: (330) 489-1478 | Mrs Jennifer L Fautas, ACNS-BC 7067 Tiffany Blvd, Suite 230, Youngstown, OH 44514-1993 Ph: (330) 758-2748 |
Mrs. Lorraine Coalmer, PHD, APRN-CNS-BC, CC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 452 Broadway Ave, Youngstown, OH 44504 Phone: 330-480-2866 Fax: 330-480-4084 | |
Ms. Linda Russell, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1001 Belmont Ave, Youngstown, OH 44504 Phone: 330-747-6446 Fax: 330-747-6843 | |
Renee Sferra, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1340 Belmont Ave, Suite 2200, Youngstown, OH 44504 Phone: 330-746-7400 Fax: 330-746-7436 | |
Stephen Bezilla, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 209 W Woodland Ave, Youngstown, OH 44502 Phone: 330-787-9180 | |
Mrs. Andrea Lyn Dixon-theisler, CNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 540 Parmalee Ave, Suite 600, Youngstown, OH 44510 Phone: 330-744-4360 Fax: 330-744-1728 | |
Jesse V Mcclain, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1340 Belmont Ave, Ste 2200, Youngstown, OH 44504 Phone: 330-746-7400 Fax: 330-746-7436 |