| Bretzyl M Liscoe, | |
|
630 E River St, Elyria, OH 44035-5902 | |
| (440) 323-8515 | |
| Not Available |
| Full Name | Bretzyl M Liscoe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 630 E River St, Elyria, 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 |
|---|---|---|---|
| 1003434952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0027013 (Ohio) | Secondary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN.CNP.0027013 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Medical Group Inc | 4789682493 | 1735 |
| University Hospitals Ahuja Medical Center Inc | 5496935538 | 56 |
| Entity Name | Community Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538236872 PECOS PAC ID: 5496648123 Enrollment ID: O20040205000697 |
| Entity Name | Elyria Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
| Entity Name | Stafford Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679542021 PECOS PAC ID: 4486678901 Enrollment ID: O20060123000759 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | University Hospitals Ahuja Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609189604 PECOS PAC ID: 5496935538 Enrollment ID: O20120424000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Bretzyl M Liscoe, 17703 Hicks Rd, Bedford, OH 44146-4332 Ph: (440) 525-0811 | Bretzyl M Liscoe, 630 E River St, Elyria, OH 44035-5902 Ph: (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 | |
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
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 | |
Jennifer Gelske, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41201 Schadden Rd, Elyria, OH 44035 Phone: 440-324-0400 Fax: 440-324-0441 |