Teresa Mustovich, CNS | |
2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 | |
(937) 434-4363 | |
(937) 734-4181 |
Full Name | Teresa Mustovich |
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Gender | Female |
Speciality | Clinical Nurse Specialist - Adult Health |
Location | 2222 Philadelphia Dr, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063732949 | NPI | - | NPPES |
3090346 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SA2200X | Clinical Nurse Specialist - Adult Health | COA11184NS (Ohio) | Primary |
Entity Name | Nova Behavioral Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548217748 PECOS PAC ID: 3274786025 Enrollment ID: O20130104000146 |
Mailing Address | Practice Location Address |
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Teresa Mustovich, CNS 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 Ph: (937) 434-4363 | Teresa Mustovich, CNS 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 Ph: (937) 434-4363 |
Rose M Malone-jones, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 301 W 1st St, Suite 100, Dayton, OH 45402 Phone: 937-461-0800 Fax: 937-496-0171 | |
Ms. Cheryl Lynn Rawe, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 414 Amy Ct, Dayton, OH 45415 Phone: 937-890-8405 | |
Marianna Karine Sunderlin, ACNS-C Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 | |
Mr. Gregory Sanchez, MS, RN-BC, ACNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2126 | |
Mrs. Pamela Sue Lamb, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 Fax: 937-258-5478 | |
Michelle Post, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-0000 |