| Tenia Bragg, PMHNP-BC | |
| 
					4199 Kinross Lakes Pkwy, Richfield, OH 44286-9010  | |
| (855) 259-9183 | |
| Not Available | 
| Full Name | Tenia Bragg | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 4199 Kinross Lakes Pkwy, Richfield, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922865625 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.400969 (Ohio) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0034584 (Ohio) | Primary | 
| Entity Name | 360team Psychiatry Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780267146 PECOS PAC ID: 4880096627 Enrollment ID: O20210715002492  | 
| Entity Name | Med Management Indiana Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225519333 PECOS PAC ID: 5698027266 Enrollment ID: O20241108001027  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tenia Bragg, PMHNP-BC 17087 Hunting Meadows Dr, Strongsville, OH 44136-6226 Ph: (440) 623-5512  | Tenia Bragg, PMHNP-BC 4199 Kinross Lakes Pkwy, Richfield, OH 44286-9010 Ph: (855) 259-9183  | 
Loni Salmon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4059 Kinross Lakes Pkwy, Richfield, OH 44286 Phone: 860-490-2043  | |
Lisa Kolecki,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4360 Brecksville Rd, Richfield, OH 44286 Phone: 731-394-1145  | |
Anna L Myers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4336 Brecksville Rd Ste B, Richfield, OH 44286 Phone: 440-202-1515  |