| Jodi Micsky, CNP | |
|
715 E Western Reserve Rd, Poland, OH 44514-3358 | |
| (330) 726-3204 | |
| (330) 729-9316 |
| Full Name | Jodi Micsky |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 715 E Western Reserve Rd, Poland, 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 |
|---|---|---|---|
| 1245649615 | NPI | - | NPPES |
| 0110786 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.16119 (Ohio) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.16119 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 388 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043572290 PECOS PAC ID: 3779749197 Enrollment ID: O20120730000162 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Micsky, CNP Po Box 636988, Cincinnati, OH 45263-6988 Ph: (888) 940-2722 | Jodi Micsky, CNP 715 E Western Reserve Rd, Poland, OH 44514-3358 Ph: (330) 726-3204 |
Amanda L. Roeder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd Fl 2, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-306-8319 | |
Nicole Lynn Sesser, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 715 E Western Reserve Rd, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-729-9316 | |
Lorene Martin, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Southwestern Run, Poland, OH 44514 Phone: 330-729-0059 Fax: 330-729-9297 | |
Jason Joseph Koenig, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd, Poland, OH 44514 Phone: 330-726-3204 | |
Mrs. Gabrielle Eisel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9190 Springfield Rd Apt 19c, Poland, OH 44514 Phone: 234-567-1698 | |
Heather K Heutsche, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Sahara Trl, Poland, OH 44514 Phone: 330-729-8970 Fax: 330-729-8971 |