Samantha C Cole, | |
6005 Som Center Rd, Willoughby, OH 44094-9646 | |
(866) 389-2727 | |
Not Available |
Full Name | Samantha C Cole |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 6005 Som Center Rd, Willoughby, 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 |
---|---|---|---|
1003264060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN275754 (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 |
---|---|
Samantha C Cole, 7226 Chillicothe Rd, Mentor, OH 44060-7106 Ph: (440) 539-3250 | Samantha C Cole, 6005 Som Center Rd, Willoughby, OH 44094-9646 Ph: (866) 389-2727 |
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