Nicole Buckley, | |
11706 Clifton Blvd, Lakewood, OH 44107-2018 | |
(216) 228-9296 | |
Not Available |
Full Name | Nicole Buckley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 11706 Clifton Blvd, Lakewood, 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 |
---|---|---|---|
1033570346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA.18765-NP (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minuteclinic Diagnostic Of Ohio Llc | 2961425608 | 195 |
Entity Name | Minuteclinic Diagnostic Of Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699747303 PECOS PAC ID: 2961425608 Enrollment ID: O20060109001066 |
Mailing Address | Practice Location Address |
---|---|
Nicole Buckley, 16514 Munn Rd, Cleveland, OH 44111-2065 Ph: (440) 364-5444 | Nicole Buckley, 11706 Clifton Blvd, Lakewood, OH 44107-2018 Ph: (216) 228-9296 |
Regina West, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1522 Victoria Ave, Lakewood, OH 44107 Phone: 216-308-2284 | |
Dominique Marie Fatica, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107 Phone: 866-389-2727 | |
Madelyn Suzanne Yacavino, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107 Phone: 216-228-9296 | |
Elizabeth Crespo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Sherri Whitaker, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15800 Detroit Ave, Lakewood, OH 44107 Phone: 216-226-8700 Fax: 216-221-3171 | |
Mrs. Christine Ann Dearth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14601 Detroit Ave, Suite 540, Lakewood, OH 44107 Phone: 216-529-5300 Fax: 216-529-5301 |