| Mrs Kimberly Ann Itayem, CNP | |
|
11100 Euclid Ave, Mather Building B 270, Cleveland, OH 44106-1716 | |
| (216) 593-1662 | |
| Not Available |
| Full Name | Mrs Kimberly Ann Itayem |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 11100 Euclid Ave, Cleveland, 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 |
|---|---|---|---|
| 1013374917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | COA.18243-NP (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Effect Health | 4688914518 | 3 |
| Entity Name | Northeast Surgical Wound Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649215583 PECOS PAC ID: 7416948153 Enrollment ID: O20040520001174 |
| 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 | Lake Effect Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780156984 PECOS PAC ID: 4688914518 Enrollment ID: O20190312003664 |
| Entity Name | Encore Clinical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184346140 PECOS PAC ID: 5991177313 Enrollment ID: O20230214000351 |
| Entity Name | Healix Wound Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952138711 PECOS PAC ID: 2668906959 Enrollment ID: O20241108002237 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Ann Itayem, CNP 11100 Euclid Ave, Mather Building B 270, Cleveland, OH 44106-1716 Ph: (216) 593-1662 | Mrs Kimberly Ann Itayem, CNP 11100 Euclid Ave, Mather Building B 270, Cleveland, OH 44106-1716 Ph: (216) 593-1662 |
Catherine Skowronsky, APRN, ACNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-308-8546 | |
Maya Shamailov, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-1743 | |
Mrs. Tiffany R. Bryant, MSN, RN, AGCNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200 | |
Tamela Jene Mcgraw Schenck, DNP, APRN, AGCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Deborah Klein, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-8559 | |
Wendy Umberger, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 |