Susan Eastabrooks, CNP | |
9485 Mentor Ave Ste 210, Primehealth, Mentor, OH 44060-8723 | |
(440) 205-5833 | |
Not Available |
Full Name | Susan Eastabrooks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 9485 Mentor Ave Ste 210, Mentor, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396926317 | NPI | - | NPPES |
2797853 | Medicaid | OH | |
P00626775 | Other | OH | MEDICARE RAILROAD PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP-09641 (Ohio) | Primary |
Entity Name | Lake Hospital System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
Mailing Address | Practice Location Address |
---|---|
Susan Eastabrooks, CNP Po Box 5076, Mentor, OH 44061-5076 Ph: (440) 209-8590 | Susan Eastabrooks, CNP 9485 Mentor Ave Ste 210, Primehealth, Mentor, OH 44060-8723 Ph: (440) 205-5833 |
Gina Lynn Berardinelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9485 Mentor Ave Ste 102, Mentor, OH 44060 Phone: 440-266-5500 Fax: 440-266-5505 | |
Mrs. Christina Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9485 Mentor Ave, Ste 210, Mentor, OH 44060 Phone: 440-255-5571 Fax: 440-205-5744 | |
Blake Wollam, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7060 Wayside Dr, Mentor, OH 44060 Phone: 440-357-2770 | |
Robert Kollar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Mrs. Brittany Louise Skinner, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9485 Mentor Avenue, Suite 210, Mentor, OH 44060 Phone: 440-255-5571 Fax: 440-205-5744 | |
Robin Jean Mills, PMHNP-BC, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Rylie Mcpartland, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 |