Evernorth Care Providers - Delaware Pa | |
8044 Montgomery Rd Ste 700 Cincinnati OH 45236-2926 | |
(773) 292-4800 | |
(312) 564-4059 |
Full Name | Evernorth Care Providers - Delaware Pa |
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Speciality | General Practice |
Location | 8044 Montgomery Rd Ste 700, Cincinnati, Ohio |
Authorized Official Name and Position | Grace V Blue (CREDENTIALING SR. MANAGER) |
Authorized Official Contact | 7732924800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evernorth Care Providers - Delaware Pa 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Delaware Pa 8044 Montgomery Rd Ste 700 Cincinnati OH 45236-2926 Ph: (773) 292-4800 |
NPI Number | 1801670435 |
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Provider Enumeration Date | 08/23/2023 |
Last Update Date | 03/07/2024 |
Medicare PECOS PAC ID | 6002217973 |
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Medicare Enrollment ID | O20231214003006 |
Identifier | Type | State | Issuer |
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1801670435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Maria Rajki |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972679546 PECOS PAC ID: 3375687387 Enrollment ID: I20100215000210 |
Provider Name | Toimeicka La June Worthy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881746410 PECOS PAC ID: 7517267461 Enrollment ID: I20151124002523 |
Provider Name | Roberta Slauterbeck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841733854 PECOS PAC ID: 9830479534 Enrollment ID: I20161215002223 |
Provider Name | Walinda Davis-jackson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376791723 PECOS PAC ID: 3779913017 Enrollment ID: I20200428001990 |
Provider Name | Shannon Alsop |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003043803 PECOS PAC ID: 7517121742 Enrollment ID: I20231214003258 |
Provider Name | Cheryl Hilton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184677742 PECOS PAC ID: 4082683651 Enrollment ID: I20240103000773 |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |