| Mary K Pallotta, CNP, MSN | |
|
7255 Old Oak Blvd, Middleburg Heights, OH 44130-3329 | |
| (440) 816-2525 | |
| (440) 816-5437 |
| Full Name | Mary K Pallotta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 7255 Old Oak Blvd, Middleburg Heights, 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 |
|---|---|---|---|
| 1023419470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | COA 16751-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest General Health Center | Middleburg heights, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novacare Rehabilitation Of Ohio Inc | 0345159315 | 439 |
| Southwest General Medical Group Inc | 8527964550 | 208 |
| Entity Name | Southwest General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134239676 PECOS PAC ID: 8527964550 Enrollment ID: O20031210000789 |
| Entity Name | Southwest General Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740608306 PECOS PAC ID: 7012909245 Enrollment ID: O20040330001464 |
| Entity Name | Dr Thomas E Mandat Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750870374 PECOS PAC ID: 3274878145 Enrollment ID: O20181220002137 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary K Pallotta, CNP, MSN 7255 Old Oak Blvd, Middleburg Heights, OH 44130-3329 Ph: (440) 816-2525 | Mary K Pallotta, CNP, MSN 7255 Old Oak Blvd, Middleburg Heights, OH 44130-3329 Ph: (440) 816-2525 |
Laura Pesetsky, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18697 Bagley Rd, Middleburg Heights, OH 44130 Phone: 440-816-8000 Fax: 440-879-0084 | |
Halle Lynch, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Pearl Rd, Middleburg Heights, OH 44130 Phone: 440-845-0900 Fax: 440-842-9911 | |
Andrea Phillips, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7271 Engle Rd Ste 307, Middleburg Heights, OH 44130 Phone: 216-644-3852 | |
Brian Tomcany Sr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7800 Pearl Rd, Middleburg Heights, OH 44130 Phone: 440-725-0576 | |
Mrs. Debra Defranco, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16600 W Sprague Rd Ste 120, Middleburg Heights, OH 44130 Phone: 440-826-0500 | |
Shantell Reid, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7225 Old Oak Blvd Ste 210, Middleburg Heights, OH 44130 Phone: 440-816-2761 Fax: 440-816-8065 |