| Olivia Cottom, | |
|
18101 Lorain Ave, Cleveland, OH 44111-5612 | |
| (216) 476-7000 | |
| Not Available |
| Full Name | Olivia Cottom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 18101 Lorain Ave, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912773318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 451377 (Ohio) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 0036124 (Ohio) | Primary |
| Entity Name | Fairview Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407953706 PECOS PAC ID: 4688571730 Enrollment ID: O20031216000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Cottom, 15631 W River Rd, Columbia Station, OH 44028-9011 Ph: (330) 256-8075 | Olivia Cottom, 18101 Lorain Ave, Cleveland, OH 44111-5612 Ph: (216) 476-7000 |
Kristin R Johnson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Mrs. Tonya Renee Goings, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Suite Rc25, Cleveland, OH 44195 Phone: 216-444-2200 | |
Ms. Dana Anne Rubis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, G58, Cleveland, OH 44195 Phone: 216-444-5086 Fax: 216-444-7360 | |
Denise Louise Page, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2273 | |
Mrs. Maureen Patrice Mcgoff Allen, BSN-RN, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-5329 Fax: 216-445-1521 | |
Anne M Tomsich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Q10-1, Cleveland, OH 44195 Phone: 216-444-0415 Fax: 216-445-2267 | |
Mrs. Allison Leigh Pullum, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, C25, Cleveland, OH 44195 Phone: 216-445-1583 Fax: 216-444-9890 |