| Dewanda Porter, FNP | |
|
3288 Oberlin Ave # Oh005, Lorain, OH 44053-2752 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Dewanda Porter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 3288 Oberlin Ave # Oh005, Lorain, 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 |
|---|---|---|---|
| 1952651721 | NPI | - | NPPES |
| 1952651721 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 13796-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic | Cleveland, OH | Hospital |
| 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 |
| Entity Name | The Metrohealth System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Universal Practice Partners 007 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285822403 PECOS PAC ID: 9436188307 Enrollment ID: O20050810001156 |
| Mailing Address | Practice Location Address |
|---|---|
| Dewanda Porter, FNP 30791 Detroit Rd # Oh005, Westlake, OH 44145-1835 Ph: () - | Dewanda Porter, FNP 3288 Oberlin Ave # Oh005, Lorain, OH 44053-2752 Ph: (866) 389-2727 |
Kaitlin Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Cooper Foster Park Rd W, Lorain, OH 44053 Phone: 440-204-5700 | |
Mrs. Veronica Marie Mediavilla, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Kolbe Rd Ste 11, Lorain, OH 44053 Phone: 440-222-4003 | |
Rita Susec, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 Kolbe Rd Ste 11, Lorain, OH 44053 Phone: 440-222-4003 Fax: 440-960-4922 | |
Ms. Kimberly Jean Bundridge, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Kolbe Rd, Palliative Care Dept, Lorain, OH 44053 Phone: 440-934-1458 Fax: 440-960-4922 | |
Olabisi Alabi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6100 W Meadow Farm Ln, Lorain, OH 44053 Phone: 440-506-9961 | |
Megan Toth, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-960-4000 | |
Kimberly Michelle Gilbert, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-5552 Fax: 440-204-4383 |