| Ronald C Mahlo, NP-C | |
|
2390 N Ocoee St, Cleveland, TN 37311-3850 | |
| (423) 339-0300 | |
| (423) 709-0543 |
| Full Name | Ronald C Mahlo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2390 N Ocoee St, Cleveland, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356456149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000012156 (Tennessee) | Primary |
| Entity Name | Physician First Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629108691 PECOS PAC ID: 3870533078 Enrollment ID: O20050506000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald C Mahlo, NP-C Po Box 440100, Nashville, TN 37244-0100 Ph: (423) 339-0300 | Ronald C Mahlo, NP-C 2390 N Ocoee St, Cleveland, TN 37311-3850 Ph: (423) 339-0300 |
Janet Leigh Zarzour, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3530 Keith St Nw, Cleveland, TN 37312 Phone: 615-673-6737 Fax: 800-474-4039 | |
Miss Margie Amanda Cook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2253 Chambliss Ave Nw, Suite 202, Cleveland, TN 37311 Phone: 423-472-3332 Fax: 423-472-3830 | |
Marissa Lyn Withrow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 N Ocoee St, Cleveland, TN 37311 Phone: 866-389-2727 Fax: 401-216-3854 | |
Robert Breck Lang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2020 Westland Dr Sw, Cleveland, TN 37311 Phone: 423-478-1970 | |
Mrs. Jaclyn Nicole Botterbush, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Dunhill Pl Nw, Cleveland, TN 37311 Phone: 423-476-2212 Fax: 423-476-7022 | |
Lindsey C Baxter, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1482 Old Charleston Rd Ne, Cleveland, TN 37312 Phone: 423-544-9596 | |
Mary Michelle Youngblood, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Brentwood Trl Sw, Cleveland, TN 37311 Phone: 423-284-9390 |