Mrs Veronica Marie Mediavilla, in Lorain, OH - Medicare Nurse Practitioner

Mrs Veronica Marie Mediavilla, is a medicare enrolled "Nurse Practitioner - Family" in Lorain, Ohio. Her current practice location is 3600 Kolbe Rd Ste 11, Lorain, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 222-4003.

Mrs Veronica Marie Mediavilla is licensed to practice in Ohio (license number APRN.CNP.0039171) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003619107.

Contact Information

	Mrs Veronica Marie Mediavilla,
	3600 Kolbe Rd Ste 11, Lorain, OH 44053-1652
	(440) 222-4003
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Veronica Marie Mediavilla
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3600 Kolbe Rd Ste 11, Lorain, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003619107
Provider Enumeration Date: 04/01/2025
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 3375062227
Enrollment ID: I20250523001760

Medical Identifiers

Medical identifiers for Mrs Veronica Marie Mediavilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003619107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0039171 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Veronica Marie Mediavilla allows following entities to bill medicare on her behalf.

Entity Name	Stafford Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679542021 PECOS PAC ID: 4486678901 Enrollment ID: O20060123000759

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Veronica Marie Mediavilla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Veronica Marie Mediavilla, 3600 Kolbe Rd Ste 11, Lorain, OH 44053-1652 Ph: (440) 222-4003	Mrs Veronica Marie Mediavilla, 3600 Kolbe Rd Ste 11, Lorain, OH 44053-1652 Ph: (440) 222-4003

Reviews and Comments

Nurse Practitioner Nurses in Lorain, OH

Kaitlin Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Cooper Foster Park Rd W, Lorain, OH 44053 Phone: 440-204-5700
Rita Susec, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 Kolbe Rd Ste 11, Lorain, OH 44053 Phone: 440-222-4003 Fax: 440-960-4922
Ms. Kimberly Jean Bundridge, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Kolbe Rd, Palliative Care Dept, Lorain, OH 44053 Phone: 440-934-1458 Fax: 440-960-4922
Olabisi Alabi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6100 W Meadow Farm Ln, Lorain, OH 44053 Phone: 440-506-9961
Megan Toth, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-960-4000
Kimberly Michelle Gilbert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-5552 Fax: 440-204-4383

Mrs Veronica Marie Mediavilla, - Medicare Nurse Practitioner in Lorain, OH