| Laureen M Ellis, NP-C | |
|
14519 Detroit Ave, Care Management, Lakewood, OH 44107-4316 | |
| (216) 529-7193 | |
| (216) 529-7264 |
| Full Name | Laureen M Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 14519 Detroit Ave, Lakewood, 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 |
|---|---|---|---|
| 1194097196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA.12984-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic | Cleveland, OH | Hospital |
| Cleveland Clinic Avon Hospital | Avon, OH | Hospital |
| Lutheran Hospital | 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Laureen M Ellis, NP-C 14519 Detroit Ave, Care Management, Lakewood, OH 44107-4316 Ph: (216) 529-7193 | Laureen M Ellis, NP-C 14519 Detroit Ave, Care Management, Lakewood, OH 44107-4316 Ph: (216) 529-7193 |
Regina West, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1522 Victoria Ave, Lakewood, OH 44107 Phone: 216-308-2284 | |
Dominique Marie Fatica, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107 Phone: 866-389-2727 | |
Nicole Buckley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107 Phone: 216-228-9296 | |
Madelyn Suzanne Yacavino, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107 Phone: 216-228-9296 | |
Elizabeth Crespo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14519 Detroit Ave, Lakewood, OH 44107 Phone: 216-521-4200 | |
Nesreen Ghazi Jawhari, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14701 Detroit Ave Ste 250, Lakewood, OH 44107 Phone: 216-221-5901 | |
Mrs. Christine Ann Dearth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14601 Detroit Ave, Suite 540, Lakewood, OH 44107 Phone: 216-529-5300 Fax: 216-529-5301 |