Tenia Bragg, PMHNP-BC | |
4199 Kinross Lakes Pkwy, Richfield, OH 44286-9010 | |
(855) 259-9183 | |
Not Available |
Full Name | Tenia Bragg |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4199 Kinross Lakes Pkwy, Richfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922865625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN.400969 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0034584 (Ohio) | Primary |
Entity Name | 360team Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780267146 PECOS PAC ID: 4880096627 Enrollment ID: O20210715002492 |
Mailing Address | Practice Location Address |
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Tenia Bragg, PMHNP-BC 17087 Hunting Meadows Dr, Strongsville, OH 44136-6226 Ph: (440) 623-5512 | Tenia Bragg, PMHNP-BC 4199 Kinross Lakes Pkwy, Richfield, OH 44286-9010 Ph: (855) 259-9183 |
Loni Salmon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4059 Kinross Lakes Pkwy, Richfield, OH 44286 Phone: 860-490-2043 | |
Lisa Kolecki, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4360 Brecksville Rd, Richfield, OH 44286 Phone: 731-394-1145 | |
Anna L Myers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4336 Brecksville Rd Ste B, Richfield, OH 44286 Phone: 440-202-1515 |