| Crystal Wilson, | |
|
2120 S Green Rd, South Euclid, OH 44121-3349 | |
| (330) 718-5006 | |
| Not Available |
| Full Name | Crystal Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2120 S Green Rd, South Euclid, 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 |
|---|---|---|---|
| 1922614551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0027557 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Wilson, 16117 Clifton Blvd, Lakewood, OH 44107-2336 Ph: () - | Crystal Wilson, 2120 S Green Rd, South Euclid, OH 44121-3349 Ph: (330) 718-5006 |
Ms. Tomisha Yvon Bethune, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Winston Rd, South Euclid, OH 44121 Phone: 216-374-8672 | |
Nicole Milliron, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2120 S Green Rd, South Euclid, OH 44121 Phone: 216-255-5201 | |
Nicholas Jezerinac, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2054 S Green Rd, South Euclid, OH 44121 Phone: 216-291-9210 | |
Mrs. Sandra L. K. Chapman, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 S Green Rd Ste 65, South Euclid, OH 44121 Phone: 216-553-5055 Fax: 216-553-5057 | |
Kristina Banks, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2054 S Green Rd, South Euclid, OH 44121 Phone: 216-291-9210 Fax: 216-291-9422 | |
Mrs. Courtney Lynn Mcavinew, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 S Green Rd Ste 237, South Euclid, OH 44121 Phone: 216-291-0311 Fax: 216-291-1334 | |
Sarah Ball, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2054 S Green Rd, South Euclid, OH 44121 Phone: 216-291-9210 |