Troy Black, | |
23900 Chagrin Blvd, Beachwood, OH 44122-5511 | |
(216) 464-1000 | |
Not Available |
Full Name | Troy Black |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 23900 Chagrin Blvd, Beachwood, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154902922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.0028609 (Ohio) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | AG03210086 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cornerstone Nurse Practitioners Of Ohio Llc | 0840607008 | 13 |
Entity Name | Tridentusa Mobile Clinical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942554837 PECOS PAC ID: 6709030133 Enrollment ID: O20150129001317 |
Entity Name | Carelon Medical Partners, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160606002004 |
Entity Name | Cornerstone Nurse Practitioners Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922698356 PECOS PAC ID: 0840607008 Enrollment ID: O20210406000711 |
Mailing Address | Practice Location Address |
---|---|
Troy Black, Po Box 6243, Wheeling, WV 26003-0722 Ph: () - | Troy Black, 23900 Chagrin Blvd, Beachwood, OH 44122-5511 Ph: (216) 464-1000 |
Megan Hebb, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3609 Park East Dr Ste 207, Beachwood, OH 44122 Phone: 216-360-9449 | |
Trisha Tyo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3999 Richmond Rd, Beachwood, OH 44122 Phone: 740-707-3874 | |
Ms. Shenika Todd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27030 Cedar Rd Apt 403, Beachwood, OH 44122 Phone: 216-337-9406 | |
Amrithpal Kaur Brar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25700 Science Park Dr Ste 210, Beachwood, OH 44122 Phone: 216-450-1613 | |
Ms. Sally Ann Yozipovich, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3150 Fax: 216-839-3195 | |
Mrs. Samantha May Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24100 Chagrin Blvd Ste 430, Beachwood, OH 44122 Phone: 216-255-5201 | |
Laura Nikole Erskine Penix, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3000 |