| Ms Theresa M Sutak, MSN, APRN, FNP-C | |
|
1425 N Fairfield Rd Ste 130, Beavercreek, OH 45432-2673 | |
| (937) 320-1950 | |
| (937) 320-9332 |
| Full Name | Ms Theresa M Sutak |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1425 N Fairfield Rd Ste 130, Beavercreek, 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 |
|---|---|---|---|
| 1881046167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3010369 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.020536 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Little Clinic Of Ohio Llc | 7719087584 | 209 |
| Entity Name | The Little Clinic Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theresa M Sutak, MSN, APRN, FNP-C 9000 North Main Street, Suite 332, Englewood, OH 45415 Ph: (937) 832-7337 | Ms Theresa M Sutak, MSN, APRN, FNP-C 1425 N Fairfield Rd Ste 130, Beavercreek, OH 45432-2673 Ph: (937) 320-1950 |
Carrie Steward, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431 Phone: 937-782-8103 | |
Jessica Lynn Ullery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623 | |
Mrs. Theresa Marie Borchers, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-4280 | |
Laura Busteed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270 | |
Sheryl Spires, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-558-3067 | |
Gregory David Bellanca, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200 Fax: 937-245-7999 | |
Yolonda M Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd. Suite 160, Beavercreek, OH 45431 Phone: 937-426-0049 Fax: 937-431-8140 |