Rena Mammoo, | |
16801 Chillicothe Rd, Chagrin Falls, OH 44023-4618 | |
(866) 389-2727 | |
Not Available |
Full Name | Rena Mammoo |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 16801 Chillicothe Rd, Chagrin Falls, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619352168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209013051 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0030086 (Ohio) | Primary |
Entity Name | Minuteclinic Diagnostic Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699747303 PECOS PAC ID: 2961425608 Enrollment ID: O20060109001066 |
Entity Name | Cuc Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578214037 PECOS PAC ID: 2961898127 Enrollment ID: O20220415001060 |
Entity Name | University Hospitals Urgent Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124765052 PECOS PAC ID: 3971985607 Enrollment ID: O20220727004332 |
Mailing Address | Practice Location Address |
---|---|
Rena Mammoo, 16801 Chillicothe Rd, Chagrin Falls, OH 44023-4618 Ph: (440) 543-7475 | Rena Mammoo, 16801 Chillicothe Rd, Chagrin Falls, OH 44023-4618 Ph: (866) 389-2727 |
Mrs. Ping Jin Porter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16801 Chillicothe Rd, Chagrin Falls, OH 44023 Phone: 866-389-2727 | |
Christopher F Manacci, DNP, ACNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17819 Auburn Rd, Chagrin Falls, OH 44023 Phone: 844-764-4633 Fax: 310-861-0855 | |
Mrs. Bonita Marie Ramaska, APRN,CNP-F Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15189 S Deepwood Ln, Chagrin Falls, OH 44022 Phone: 216-407-2817 | |
Carol Duber, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5192 Chillicothe Rd, Chagrin Falls, OH 44022 Phone: 440-338-3366 | |
Emily Marie Aufmuth Gunnoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 Washington St, Chagrin Falls, OH 44022 Phone: 440-893-9393 | |
Kari Gali, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6000 Parkland Dr, Chagrin Falls, OH 44022 Phone: 440-338-6696 | |
Annie Cross Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16801 Chillicothe Rd, Chagrin Falls, OH 44023 Phone: 440-543-7475 |