Mrs Beatrice Cardona Weese, NP-C | |
1120 E Broad St, Elyria, OH 44035-6306 | |
(440) 365-2600 | |
(440) 366-5543 |
Full Name | Mrs Beatrice Cardona Weese |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1120 E Broad St, Elyria, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104210715 | NPI | - | NPPES |
0200965 | Medicaid | OH | |
0265104 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA.17181-NP (Ohio) | Primary |
163W00000X | Registered Nurse | RN.351285-COA1 (Ohio) | Secondary |
Entity Name | Lorain County Health & Dentistry |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215194527 PECOS PAC ID: 9234047853 Enrollment ID: O20031105000774 |
Entity Name | Mercy Health-allen Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801825997 PECOS PAC ID: 5092802389 Enrollment ID: O20080731000059 |
Entity Name | Mercy Health Physicians Lorain Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023347192 PECOS PAC ID: 1355474172 Enrollment ID: O20100730000651 |
Mailing Address | Practice Location Address |
---|---|
Mrs Beatrice Cardona Weese, NP-C 578 N Leavitt Rd, Amherst, OH 44001-1131 Ph: (440) 989-3801 | Mrs Beatrice Cardona Weese, NP-C 1120 E Broad St, Elyria, OH 44035-6306 Ph: (440) 365-2600 |
Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 | |
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312 | |
Ms. Amy M. King, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454 | |
Teneisha Taquae Craighead, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-452-0740 |