Sundu Mansary, | |
5351 Mitchaw Rd, Sylvania, OH 43560 | |
(567) 455-3280 | |
Not Available |
Full Name | Sundu Mansary |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 5351 Mitchaw Rd, Sylvania, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396438024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 2022096380 (Ohio) | Primary |
Entity Name | Stafford Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679542021 PECOS PAC ID: 4486678901 Enrollment ID: O20060123000759 |
Mailing Address | Practice Location Address |
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Sundu Mansary, 41800 W 11 Mile Rd Ste 109, Novi, MI 48375-1818 Ph: (833) 578-2763 | Sundu Mansary, 5351 Mitchaw Rd, Sylvania, OH 43560 Ph: (567) 455-3280 |
Amy Cramer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St, Suitie 111, Sylvania, OH 43560 Phone: 567-585-0005 Fax: 567-585-0007 | |
Reba Das, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5351 Mitchaw Rd, Sylvania, OH 43560 Phone: 419-824-6699 | |
Kristi Lorenc, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6400 Monroe St, Sylvania, OH 43560 Phone: 844-436-4987 Fax: 866-390-9167 | |
Andrea Tabbert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Harroun Rd Ste 201, Sylvania, OH 43560 Phone: 419-885-5563 Fax: 419-885-5439 | |
Rhonda Shryock, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Harroun Rd, Sylvania, OH 43560 Phone: 419-824-1444 Fax: 419-882-8309 | |
Elisha Stroder, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Harroun Rd Ste 201, Sylvania, OH 43560 Phone: 419-885-5563 Fax: 419-885-5439 | |
Mrs. Gretchen Lee Hoover, RN MSN FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4121 N King Rd, Kingston Care Center, Sylvania, OH 43528 Phone: 419-517-8200 Fax: 419-517-8208 |