| Alicia K Blacksmith, CNP | |
|
4065 Center Rd Ste 220, Brunswick, OH 44212-5325 | |
| (330) 558-0070 | |
| Not Available |
| Full Name | Alicia K Blacksmith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 4065 Center Rd Ste 220, Brunswick, 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 |
|---|---|---|---|
| 1952776817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP-18407 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest General Health Center | Middleburg heights, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest General Medical Group Inc | 8527964550 | 208 |
| Entity Name | Southwest General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134239676 PECOS PAC ID: 8527964550 Enrollment ID: O20031210000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia K Blacksmith, CNP Po Box 638269, Cincinnati, OH 45263-8269 Ph: () - | Alicia K Blacksmith, CNP 4065 Center Rd Ste 220, Brunswick, OH 44212-5325 Ph: (330) 558-0070 |
Alexandra M Harvan, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3574 Center Rd, Brunswick, OH 44212 Phone: 330-225-8886 | |
Angela Bliss, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3574 Center Rd, Brunswick, OH 44212 Phone: 303-225-8886 Fax: 330-741-7097 | |
Rachael Bator, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4065 Center Rd Ste 220, Brunswick, OH 44212 Phone: 330-558-0070 | |
Mrs. Richelle Renee Brown, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3574 Center Rd, Brunswick, OH 44212 Phone: 330-225-8886 | |
Michelle Konstantinovsky, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4065 Center Rd Ste 220, Brunswick, OH 44212 Phone: 330-558-0070 | |
Jeanne-marie Ngantcha Nkenglefac, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5176 Salton Dr, Brunswick, OH 44212 Phone: 918-971-8712 | |
Chahnaz El Jaouhari, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Westchester Dr, Brunswick, OH 44212 Phone: 330-741-1530 |