Ms Ladonna J Ross, CNS | |
3095 Kettering Blvd, Moraine, OH 45439-1983 | |
(937) 293-8300 | |
Not Available |
Full Name | Ms Ladonna J Ross |
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Gender | Female |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
Location | 3095 Kettering Blvd, Moraine, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669571360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | RN161656 (Ohio) | Primary |
Entity Name | Access Behavioral Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437463213 PECOS PAC ID: 1052595402 Enrollment ID: O20110408000052 |
Entity Name | Access Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689763740 PECOS PAC ID: 4385899053 Enrollment ID: O20130612000051 |
Mailing Address | Practice Location Address |
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Ms Ladonna J Ross, CNS 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: () - | Ms Ladonna J Ross, CNS 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300 |
Kristina Fisher, MSN,CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1579 | |
Jennifer D Malek, CNS,BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 5350 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4651 Fax: 937-534-4669 |