Tyler Michael Fenton, | |
1506 Mentor Ave, Painesville, OH 44077-1705 | |
(440) 354-5609 | |
Not Available |
Full Name | Tyler Michael Fenton |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1506 Mentor Ave, Painesville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316731458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | APRN.CNP.0038773 (Ohio) | Primary |
Entity Name | Minuteclinic Diagnostic Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699747303 PECOS PAC ID: 2961425608 Enrollment ID: O20060109001066 |
Entity Name | Suhas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811508625 PECOS PAC ID: 7012337629 Enrollment ID: O20201021000825 |
Mailing Address | Practice Location Address |
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Tyler Michael Fenton, 37406 Park Ave, Willoughby, OH 44094-6051 Ph: () - | Tyler Michael Fenton, 1506 Mentor Ave, Painesville, OH 44077-1705 Ph: (440) 354-5609 |
Donna Sheahan, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Ardmore Blvd, Painesville, OH 44077 Phone: 440-289-3162 | |
Mrs. Nancy Rigden, NEONATAL NURSE PRACT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 E Washington St, Painesville, OH 44077 Phone: 440-354-2400 | |
Chloe Barclay, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Palm Ct, Painesville, OH 44077 Phone: 440-346-6732 | |
Ms. Margaret Ellen Henning, MSN, RN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1506 Mentor Ave, Painesville, OH 44077 Phone: 866-389-2727 | |
Deirdre Denine Raimey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 W Walnut Ave, Painesville, OH 44077 Phone: 440-296-9860 | |
David Huffman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7220 S Kipling Pl, Painesville, OH 44077 Phone: 216-408-4104 |