Angela South, in Medina, OH - Medicare Nurse Practitioner

Angela South, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Medina, Ohio. Her current practice location is 3567 Reserve Commons Dr Ste 100, Medina, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 664-9250.

Angela South is licensed to practice in Ohio (license number 0034233) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114629540.

Contact Information

	Angela South,
	3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344
	(330) 664-9250
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela South
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3567 Reserve Commons Dr Ste 100, Medina, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114629540
Provider Enumeration Date: 03/20/2023
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2264891274
Enrollment ID: I20230710001502

Medical Identifiers

Medical identifiers for Angela South such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114629540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	398808 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0034233 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela South allows following entities to bill medicare on her behalf.

Entity Name	Alcove Ventures Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093191322 PECOS PAC ID: 1456669605 Enrollment ID: O20151007002805

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela South is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angela South, 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 Ph: (330) 664-9250	Angela South, 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 Ph: (330) 664-9250

Reviews and Comments

Nurse Practitioner Nurses in Medina, OH

Margaret Hosfield Maisel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5075 Windfall Rd, Medina, OH 44256 Phone: 330-722-4771 Fax: 330-722-5266
Jessica Gutwein, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-721-5700
Becky Coyner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E. Washington Street, Medina, OH 44256 Phone: 330-721-4955
Ashley Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3567 Reserve Commons Dr Ste 100, Medina, OH 44256 Phone: 330-664-9250
Caroline Molony, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3593 Reserve Commons Drive, Medina, OH 44256 Phone: 330-536-3746
Cheryl Ann Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St Ste 2f, Medina, OH 44256 Phone: 330-723-7999 Fax: 330-764-9907
Holly Zienkowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-466-6919

Angela South, - Medicare Nurse Practitioner in Medina, OH