| Jaclyn Fields, | |
|
9500 Euclid Ave, Cleveland, OH 44195-0001 | |
| (216) 444-2200 | |
| Not Available |
| Full Name | Jaclyn Fields |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 9500 Euclid Ave, Cleveland, 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 |
|---|---|---|---|
| 1841748118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.019880 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Hospital | Cleveland, OH | Hospital |
| Cleveland Clinic Avon Hospital | Avon, OH | Hospital |
| Cleveland Clinic | Cleveland, OH | Hospital |
| Medina Hospital | Medina, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Clinic Medical Services Company, Llc | 5698674653 | 229 |
| 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 | Clinic Medical Services Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528013984 PECOS PAC ID: 5698674653 Enrollment ID: O20040108000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Fields, 1278 W 9th St, Apartment 1239, Cleveland, OH 44113-1028 Ph: () - | Jaclyn Fields, 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: (216) 444-2200 |
Kristin R Johnson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Mrs. Tonya Renee Goings, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Suite Rc25, Cleveland, OH 44195 Phone: 216-444-2200 | |
Ms. Dana Anne Rubis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, G58, Cleveland, OH 44195 Phone: 216-444-5086 Fax: 216-444-7360 | |
Denise Louise Page, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2273 | |
Mrs. Maureen Patrice Mcgoff Allen, BSN-RN, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-5329 Fax: 216-445-1521 | |
Anne M Tomsich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Q10-1, Cleveland, OH 44195 Phone: 216-444-0415 Fax: 216-445-2267 | |
Mrs. Allison Leigh Pullum, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, C25, Cleveland, OH 44195 Phone: 216-445-1583 Fax: 216-444-9890 |