| Mrs Tina M Davis, PA C | |
|
3574 Center Rd, Brunswick, OH 44212-3618 | |
| (330) 225-8886 | |
| Not Available |
| Full Name | Mrs Tina M Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 3574 Center Rd, Brunswick, 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 |
|---|---|---|---|
| 1316929300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 50.001480RX (Ohio) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 50-00-1480 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6954 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tina M Davis, PA C 3574 Center Rd, Brunswick, OH 44212-3618 Ph: (330) 225-8886 | Mrs Tina M Davis, PA C 3574 Center Rd, Brunswick, OH 44212-3618 Ph: (330) 225-8886 |
Maureen Kilrain, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3059 Grafton Rd, Brunswick, OH 44212 Phone: 440-476-8428 |
Theodore Joseph Beltavski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3574 Center Rd, Brunswick, OH 44212 Phone: 440-552-8066 |