| Michelle Petrie, | |
|
2055 Alexandria Way, Macedonia, OH 44056-1998 | |
| (330) 468-3312 | |
| Not Available |
| Full Name | Michelle Petrie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2055 Alexandria Way, Macedonia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336704972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 00028224 (Ohio) | Primary |
| Entity Name | Broadview Heights Family Medicine, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063495224 PECOS PAC ID: 2567420508 Enrollment ID: O20041222000470 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Family Statcare Of Northeast Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053565986 PECOS PAC ID: 7517014400 Enrollment ID: O20090410000098 |
| Entity Name | University Hospitals Cleveland Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043747454 PECOS PAC ID: 3274431879 Enrollment ID: O20170728000888 |
| Entity Name | Molina Care Connections, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180220001792 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Petrie, 2055 Alexandria Way, Macedonia, OH 44056-1998 Ph: (330) 468-3312 | Michelle Petrie, 2055 Alexandria Way, Macedonia, OH 44056-1998 Ph: (330) 468-3312 |
Robert Kollar, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8210 Macedonia Commons Blvd # 3a1096, Macedonia, OH 44056 Phone: 877-779-2873 Fax: 888-505-0251 | |
Ms. Renee J Broze, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8210 Macedonia Commons Blvd Unit 40, Macedonia, OH 44056 Phone: 330-468-0190 Fax: 330-468-5740 | |
Jessica Ann Von Benken, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1313 Bel Air Cir, Macedonia, OH 44056 Phone: 440-785-9003 | |
Shelley Ann Plescia, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 911 E Aurora Rd, Macedonia, OH 44056 Phone: 330-306-9844 | |
Keyeya Sanice Floyd, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1756 Sagamore Rd, Macedonia, OH 44067 Phone: 330-467-7131 | |
Mrs. Lauren Beverlee Kusi, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8210 Macedonia Commons, Suite 3b Pmb 1096, Macedonia, OH 44056 Phone: 877-779-2873 |