| Alicia S Angelo, MS, RN, CNP | |
|
25000 Country Club Blvd, # 255, North Olmsted, OH 44070-5344 | |
| (440) 893-0200 | |
| (440) 793-7194 |
| Full Name | Alicia S Angelo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 25000 Country Club Blvd, North Olmsted, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619983657 | NPI | - | NPPES |
| 2646355 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | COA.08466.NP (Ohio) | Primary |
| Entity Name | Mobile Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
| Entity Name | Qofl Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942554837 PECOS PAC ID: 6709030133 Enrollment ID: O20150129001317 |
| Entity Name | Provider Partners Care Management LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20240411002117 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia S Angelo, MS, RN, CNP 25000 Country Club Blvd, # 255, North Olmsted, OH 44070-5344 Ph: (440) 893-0200 | Alicia S Angelo, MS, RN, CNP 25000 Country Club Blvd, # 255, North Olmsted, OH 44070-5344 Ph: (440) 893-0200 |
Ms. Jill Loretitsch, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25000 Country Club Blvd, #255, North Olmsted, OH 44070 Phone: 440-893-0200 Fax: 440-793-7194 |
Savannah Moody, RN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 24700 Lorain Rd Ste 304, North Olmsted, OH 44070 Phone: 440-503-0359 |
Kara Reilly, LSW, LICDC, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4466 Ranchview Ave, North Olmsted, OH 44070 Phone: 419-376-2179 |
Elena Gonzalez, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3985 Darby Ln, North Olmsted, OH 44070 Phone: 877-426-0426 |
Jennifer M Hall, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27713 Lorain Rd, North Olmsted, OH 44070 Phone: 440-716-5166 |
Mrs. Christine Rossetti, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25000 Country Club Blvd, #255, North Olmsted, OH 44070 Phone: 440-893-0200 Fax: 440-793-7194 |
Breanna Marie Schwarzer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27713 Lorain Rd, North Olmsted, OH 44070 Phone: 440-835-3271 |