| Michell Mcdiffett, PA-C | |
|
4200 Park Ave, Ashtabula, OH 44004-6895 | |
| (216) 280-4363 | |
| Not Available |
| Full Name | Michell Mcdiffett |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 4200 Park Ave, Ashtabula, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033411889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003207 (Ohio) | Primary |
| Entity Name | Signature Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Michell Mcdiffett, PA-C 1996 E 228th St, Euclid, OH 44117-2044 Ph: (216) 280-4363 | Michell Mcdiffett, PA-C 4200 Park Ave, Ashtabula, OH 44004-6895 Ph: (216) 280-4363 |
Kate Wagner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 524 W 24th St, Ashtabula, OH 44004 Phone: 440-496-6500 Fax: 440-496-6501 |
Mrs. Samantha Rae Meabon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 416 W 27th St, Ashtabula, OH 44004 Phone: 440-997-5427 |
Sean Douglas Deeley, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2141 Lake Ave, Ashtabula, OH 44004 Phone: 440-443-0442 Fax: 440-755-8010 |
Beth Zanko, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2422 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-6731 |
Tatyana N Kuvshinikov, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 417 W Prospect Rd, Ashtabula, OH 44004 Phone: 440-381-8520 |
Andrea M Swartout, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4211 Birchwood Ave, Ashtabula, OH 44004 Phone: 440-993-1267 |
Alicia Palo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 524 W 24th St, Ashtabula, OH 44004 Phone: 440-997-6915 Fax: 440-997-6976 |