| Mrs Susan M Flick, CNP | |
|
300 Allen Bradley Dr Ste 240, Mayfield Heights, OH 44124-6130 | |
| (216) 382-8000 | |
| (216) 297-3233 |
| Full Name | Mrs Susan M Flick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 300 Allen Bradley Dr Ste 240, Mayfield Heights, 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 |
|---|---|---|---|
| 1710175179 | NPI | - | NPPES |
| 464794 | Other | OH | WELLCARE |
| 2839343 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 09704NP (Ohio) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | COA.09704-NP (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
| Uh Regional Hospitals | Richmond heights, OH | Hospital |
| Lake Health Beachwood Medical Center | Beachwood, OH | Hospital |
| Cleveland Clinic | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Customcare Md Llc | 5092744540 | 3 |
| Entity Name | Customcare Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093904476 PECOS PAC ID: 5092744540 Enrollment ID: O20050805000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan M Flick, CNP 300 Allen Bradley Dr Ste 240, Mayfield Heights, OH 44124-6130 Ph: (216) 382-8000 | Mrs Susan M Flick, CNP 300 Allen Bradley Dr Ste 240, Mayfield Heights, OH 44124-6130 Ph: (216) 382-8000 |
Jennifer K Mackey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6770 Mayfield Rd # 421, Hc40, Mayfield Heights, OH 44124 Phone: 440-312-7689 Fax: 440-449-7715 | |
Allison Jindra, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 440-312-4500 | |
Ashley Lynn Decapua, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 Golden Gate Plz, Mayfield Heights, OH 44124 Phone: 440-499-4076 | |
Michelle Eileen Horky, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1677 Longwood Dr, Mayfield Heights, OH 44124 Phone: 440-487-0525 | |
Kelly Fortuna, RN, APRN, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1295 Ranchland Dr, Mayfield Heights, OH 44124 Phone: 216-386-0106 | |
Bailey Jean Ingham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 440-312-4500 | |
Boris Zhitnik, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Chatham Way Apt 806, Mayfield Heights, OH 44124 Phone: 216-287-5638 |