Nicole Elizabeth Zmijewski, | |
2090 Matty Dr, Erie, MI 48133-9370 | |
(419) 344-7729 | |
Not Available |
Full Name | Nicole Elizabeth Zmijewski |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2090 Matty Dr, Erie, Michigan |
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 |
---|---|---|---|
1699333419 | NPI | - | NPPES |
0361547 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.024629 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704241600 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Promedica Toledo Hospital | Toledo, OH | Hospital |
Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Toledo Hospital | 2961309638 | 82 |
Emergency Physicians Of Northwest Ohio, Inc. | 3375456478 | 88 |
Emergency Physicians Of Northwest Ohio, Inc. | 3375456478 | 88 |
Entity Name | Emergency Physicians Of Northwest Ohio, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043274418 PECOS PAC ID: 3375456478 Enrollment ID: O20031106000006 |
Entity Name | University Of Toledo Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
Entity Name | Promedica Central Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
Entity Name | The Toledo Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407854771 PECOS PAC ID: 2961309638 Enrollment ID: O20031218001042 |
Entity Name | Mercy Emergency Care Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904 |
Entity Name | Observation Physicians Of Northwest Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700462967 PECOS PAC ID: 7416365630 Enrollment ID: O20210427002904 |
Mailing Address | Practice Location Address |
---|---|
Nicole Elizabeth Zmijewski, 2090 Matty Dr, Erie, MI 48133-9370 Ph: (419) 344-7729 | Nicole Elizabeth Zmijewski, 2090 Matty Dr, Erie, MI 48133-9370 Ph: (419) 344-7729 |