Mamadou Saliou Diallo, DNP, FNP-BC,PMHNP-BC | |
161 Clint Dr Ste 200, Pickerington, OH 43147-7794 | |
(614) 705-6161 | |
(614) 705-6151 |
Full Name | Mamadou Saliou Diallo |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 161 Clint Dr Ste 200, Pickerington, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922594746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP023055 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 023055 (Ohio) | Primary |
Entity Name | Moon Family & Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902512122 PECOS PAC ID: 2062887284 Enrollment ID: O20230331000508 |
Mailing Address | Practice Location Address |
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Mamadou Saliou Diallo, DNP, FNP-BC,PMHNP-BC 161 Clint Dr Ste 200, Pickerington, OH 43147-7794 Ph: () - | Mamadou Saliou Diallo, DNP, FNP-BC,PMHNP-BC 161 Clint Dr Ste 200, Pickerington, OH 43147-7794 Ph: (614) 705-6161 |
Mrs. Kristin Pearce, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Refugee Rd Ste 310, Pickerington, OH 43147 Phone: 614-788-4333 | |
Sarah Lynn George, APRN.FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38 E Columbus St, Pickerington, OH 43147 Phone: 614-920-9902 Fax: 614-920-9905 | |
Lucy O Mba, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Gray Dr, Pickerington, OH 43147 Phone: 614-270-8248 | |
Shawn Christopher Koser, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 641 Hill Rd N Ste A, Pickerington, OH 43147 Phone: 614-627-1380 | |
Tameka Nicole Todd, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 Refugee Rd Fl 2, Pickerington, OH 43147 Phone: 614-293-8617 Fax: 614-685-5246 | |
Joseph Bui, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8535 Refugee Rd, Pickerington, OH 43147 Phone: 740-205-2007 Fax: 877-384-2597 | |
Mr. Brian Chichester, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13527 Limnworthy Dr, Pickerington, OH 43147 Phone: 937-367-1937 |