| Casey Malicoat, APRN,FNP-C | |
| 
					3700 Park East Dr Ste 450, Beachwood, OH 44122-4318  | |
| (866) 849-0692 | |
| (888) 973-8821 | 
| Full Name | Casey Malicoat | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3700 Park East Dr Ste 450, Beachwood, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881019214 | NPI | - | NPPES | 
| QMP000004855095 | Other | MOLINA | |
| 14435766 | Other | CAQH | |
| 000001329868 | Other | BCBS OH | |
| 0360440 | Medicaid | OH | 
| Entity Name | Devoted Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609474527 PECOS PAC ID: 1052794278 Enrollment ID: O20220819001526  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Casey Malicoat, APRN,FNP-C Po Box 211699, Eagan, MN 55121-3699 Ph: (866) 849-0692  | Casey Malicoat, APRN,FNP-C 3700 Park East Dr Ste 450, Beachwood, OH 44122-4318 Ph: (866) 849-0692  | 
Megan Hebb,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3609 Park East Dr Ste 207, Beachwood, OH 44122 Phone: 216-360-9449  | |
Trisha Tyo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3999 Richmond Rd, Beachwood, OH 44122 Phone: 740-707-3874  | |
Ms. Shenika Todd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27030 Cedar Rd Apt 403, Beachwood, OH 44122 Phone: 216-337-9406  | |
Amrithpal Kaur Brar,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25700 Science Park Dr Ste 210, Beachwood, OH 44122 Phone: 216-450-1613  | |
Ms. Sally Ann Yozipovich, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3150 Fax: 216-839-3195  | |
Mrs. Samantha May Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24100 Chagrin Blvd Ste 430, Beachwood, OH 44122 Phone: 216-255-5201  | |
Laura Nikole Erskine Penix, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3000  |