| Mrs Charlethea West, NP | |
|
677 Alpha Dr, Highland Heights, OH 44143-2164 | |
| (440) 385-2736 | |
| Not Available |
| Full Name | Mrs Charlethea West |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 677 Alpha Dr, Highland Heights, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629489745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA.15842-NP (Ohio) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 15842-NP (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Open Water Counseling And Recovery Llc | 8527487750 | 16 |
| Impact Health Pc | 0941562664 | 79 |
| Impact Health Advanced Care Pc | 8325537863 | 18 |
| Ultra Health Llc | 6800186602 | 151 |
| Entity Name | Ultra Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20191230002589 |
| Entity Name | Open Water Counseling and Recovery LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932747888 PECOS PAC ID: 8527487750 Enrollment ID: O20201007001578 |
| Entity Name | Impact Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20251017000204 |
| Entity Name | Impact Health Advanced Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528931011 PECOS PAC ID: 8325537863 Enrollment ID: O20251103003130 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Charlethea West, NP 349 Appletree Dr, Painesville, OH 44077-5296 Ph: Not Available | Mrs Charlethea West, NP 677 Alpha Dr, Highland Heights, OH 44143-2164 Ph: (440) 385-2736 |
Katja Slatinsek, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 677 Alpha Dr Ste H, Highland Heights, OH 44143 Phone: 440-386-2500 |
Dominique Gibson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 675 Alpha Dr Ste G, Highland Heights, OH 44143 Phone: 440-664-1446 |
Ann Pearce Hicks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 734 Alpha Dr, Highland Heights, OH 44143 Phone: 440-386-2500 |