| Michelle M Cohen, CRNP | |
|
37 Highland Ave, Washington, PA 15301-4062 | |
| (724) 223-1067 | |
| (724) 223-1088 |
| Full Name | Michelle M Cohen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 37 Highland Ave, Washington, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124497995 | NPI | - | NPPES |
| 014582 | Other | PA | HIGHMARK BLUE SHIELD |
| 1007288440104 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP015236 (Pennsylvania) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP023180 (Pennsylvania) | Primary |
| Entity Name | Centerville Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801877048 PECOS PAC ID: 7214837202 Enrollment ID: O20040427000681 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle M Cohen, CRNP 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Michelle M Cohen, CRNP 37 Highland Ave, Washington, PA 15301-4062 Ph: (724) 223-1067 |
John Creese, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 Jefferson Ave, Washington, PA 15301 Phone: 724-374-3468 | |
Hannah Marze Mickey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 W Beau St Ste 200, Washington, PA 15301 Phone: 724-228-7400 | |
Bonita R. Clayton, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 741 Locust Avenue, Washington, PA 15301 Phone: 724-906-4798 Fax: 724-918-9068 | |
Mrs. Kimberly June Heckman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Wilson Ave, Washington, PA 15301 Phone: 724-579-1654 | |
Kelly Kern, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Locust Ave, Washington, PA 15301 Phone: 724-222-2577 Fax: 724-228-5849 | |
Carlin Rose Gerba, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Wilson Ave, Washington, PA 15301 Phone: 724-223-3800 | |
Ms. Karen J. Coleman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Wilson Ave, Washington, PA 15301 Phone: 724-223-3085 |