| Heather Tully, MSN FNP | |
|
56 E Main St, Wakeman, OH 44889-9492 | |
| (216) 267-5445 | |
| Not Available |
| Full Name | Heather Tully |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 56 E Main St, Wakeman, 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 |
|---|---|---|---|
| 1336637453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.347407 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.023337 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Nurse Practitioners Of Ohio Llc | 0840607008 | 11 |
| Stafford Services, Inc. | 4486678901 | 31 |
| 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 | Cornerstone Nurse Practitioners Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922698356 PECOS PAC ID: 0840607008 Enrollment ID: O20210406000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Tully, MSN FNP 197 Sleepy Hollow Dr, Amherst, OH 44001-2782 Ph: (440) 308-5385 | Heather Tully, MSN FNP 56 E Main St, Wakeman, OH 44889-9492 Ph: (216) 267-5445 |
Allison P Ringle, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Hyde St, Wakeman, OH 44889 Phone: 440-839-2226 Fax: 440-839-1339 | |
Heather Marie Walker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 E Main St, Wakeman, OH 44889 Phone: 216-470-4057 | |
Melinda D Riedy, RN, MSN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Hyde St, Wakeman, OH 44889 Phone: 440-839-2226 Fax: 440-839-1339 |