Devoted Medical Group Inc - Medicare Primary Care in Beachwood, OH

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Devoted Medical Group Inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Beachwood, Ohio. The current practice location for Devoted Medical Group Inc is 3700 Park East Dr Ste 450, Beachwood, Ohio. For appointments, you can reach them via phone at (617) 958-1611. The mailing address for Devoted Medical Group Inc is Po Box 211699, Eagan, Minnesota and phone number is () -.

Devoted Medical Group Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609474527. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (617) 958-1611.

Contact Information

Devoted Medical Group Inc
3700 Park East Dr Ste 450
Beachwood
OH 44122-4318
(617) 958-1611
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameDevoted Medical Group Inc
SpecialityClinic/Center
Location3700 Park East Dr Ste 450, Beachwood, Ohio
Authorized Official Name and PositionAracely Courtney (PRACTICE MANAGEMENT)
Authorized Official Contact8668490692
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Devoted Medical Group Inc
Po Box 211699
Eagan
MN 55121-3699

Ph: () -		Devoted Medical Group Inc
3700 Park East Dr Ste 450
Beachwood
OH 44122-4318

Ph: (617) 958-1611

NPI Details:

NPI Number1609474527
Provider Enumeration Date10/13/2020
Last Update Date01/05/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1052794278
Medicare Enrollment IDO20220819001526

Medical Identifiers

Medical identifiers for Devoted Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609474527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Devoted Medical Group Inc acts as a billing entity for following providers:
Provider NameAmy Hoover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346433810
PECOS PAC ID: 7113093469
Enrollment ID: I20080910000305
Provider NameCarrie Kiepert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366604779
PECOS PAC ID: 6103992250
Enrollment ID: I20080915000069
Provider NameJulie Jubak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780792143
PECOS PAC ID: 1254462146
Enrollment ID: I20100621000469
Provider NameKimberly A Maio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497004253
PECOS PAC ID: 8527218353
Enrollment ID: I20121101000110
Provider NameKellie Jarzembak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538597000
PECOS PAC ID: 7416264718
Enrollment ID: I20150918001868
Provider NameJulie Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316313109
PECOS PAC ID: 3173832797
Enrollment ID: I20151022001132
Provider NameAmy Braddock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720531254
PECOS PAC ID: 4981992476
Enrollment ID: I20161017001688
Provider NameTrisha Np Khalilieh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922547439
PECOS PAC ID: 1052695665
Enrollment ID: I20170227002518
Provider NameJordan Seese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154845931
PECOS PAC ID: 2264704519
Enrollment ID: I20170821002446
Provider NameMarvelyn L Allen-cage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407007966
PECOS PAC ID: 3274851035
Enrollment ID: I20180313001775
Provider NameErin Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932622123
PECOS PAC ID: 1759646276
Enrollment ID: I20180601002434
Provider NameChristina Barr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710480900
PECOS PAC ID: 7113280777
Enrollment ID: I20180629002563
Provider NameJennifer Forberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841776648
PECOS PAC ID: 0244588044
Enrollment ID: I20180810001576
Provider NameMatthew Krohn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629554514
PECOS PAC ID: 1759631039
Enrollment ID: I20180906003211
Provider NameKelli Mccartney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689149742
PECOS PAC ID: 7113271172
Enrollment ID: I20181112001023
Provider NameRebecca Lewis-sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366910085
PECOS PAC ID: 2860733797
Enrollment ID: I20190403000329
Provider NameCandice Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700441862
PECOS PAC ID: 9931432531
Enrollment ID: I20190613002622
Provider NameKaitlin Six
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821558834
PECOS PAC ID: 0446585202
Enrollment ID: I20190716002148
Provider NameAngela Ream
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508410606
PECOS PAC ID: 1759618549
Enrollment ID: I20190816002210
Provider NameCasey Malicoat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881019214
PECOS PAC ID: 6709115975
Enrollment ID: I20190912003635
Provider NameRobyn Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639788417
PECOS PAC ID: 1052731742
Enrollment ID: I20201019002370
Provider NameGeorgina Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275090698
PECOS PAC ID: 8325379241
Enrollment ID: I20201118003312
Provider NameDeborah Nash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376166298
PECOS PAC ID: 4688088974
Enrollment ID: I20210127003489
Provider NameKelsey Mcmahon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235713439
PECOS PAC ID: 4385047190
Enrollment ID: I20210730000401
Provider NameSamantha Tobin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922759018
PECOS PAC ID: 0345633483
Enrollment ID: I20220211002105
Provider NameCassandra E Remo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881349470
PECOS PAC ID: 5890189989
Enrollment ID: I20220307002255
Provider NameSarah Kaminski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932854197
PECOS PAC ID: 9133514136
Enrollment ID: I20220309001438
Provider NameDianne C Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801104773
PECOS PAC ID: 5799973566
Enrollment ID: I20220818000750
Provider NameAllyssa Deluca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902309826
PECOS PAC ID: 2668736190
Enrollment ID: I20220830000793
Provider NamePaul Di Capua
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295037430
PECOS PAC ID: 5294990420
Enrollment ID: I20220913003287
Provider NameKyle Wasil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295443612
PECOS PAC ID: 5698144202
Enrollment ID: I20221202002036
Provider NameVanessa Pedroso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235481722
PECOS PAC ID: 2961623343
Enrollment ID: I20221213002939
Provider NameClaire Campbell
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1477842094
PECOS PAC ID: 0345462784
Enrollment ID: I20221214001656
Provider NameRachel Penning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932632296
PECOS PAC ID: 0840576021
Enrollment ID: I20230111001262
Provider NameNancy Bogenrieder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821472648
PECOS PAC ID: 6204138589
Enrollment ID: I20230209002880
Provider NameSarah Bible
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699210351
PECOS PAC ID: 6800173832
Enrollment ID: I20230321002085
Provider NameEmily Ferullo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144945429
PECOS PAC ID: 1658745013
Enrollment ID: I20230327000238
Provider NameAdam Mckinnon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881294775
PECOS PAC ID: 0840603296
Enrollment ID: I20230327002421
Provider NameCarol Mckinnon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336564731
PECOS PAC ID: 0547485187
Enrollment ID: I20230502002500
Provider NameDesiree Almeyda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396269734
PECOS PAC ID: 7618234105
Enrollment ID: I20230519001435
Provider NameJennifer Bogdanowicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427402932
PECOS PAC ID: 3870880073
Enrollment ID: I20230526000738
Provider NameCristina Bolivar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104344456
PECOS PAC ID: 5294096707
Enrollment ID: I20230620002996
Provider NameLisa Byrd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407845829
PECOS PAC ID: 0042398133
Enrollment ID: I20230731000184
Provider NameMeghan Burrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245599406
PECOS PAC ID: 1052568136
Enrollment ID: I20230809003073
Provider NameRobert Glass
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497049571
PECOS PAC ID: 5991922999
Enrollment ID: I20230824000409
Provider NameAlyse Poll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598135089
PECOS PAC ID: 8921309287
Enrollment ID: I20230920001514
Provider NameAllison Trento
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306930268
PECOS PAC ID: 3971501297
Enrollment ID: I20231212003105
Provider NameValerie Valencia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780181255
PECOS PAC ID: 0941556377
Enrollment ID: I20240403002568
Provider NameBrook Calton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528395019
PECOS PAC ID: 6204078231
Enrollment ID: I20240404003527
Provider NameKendra Hurst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780156844
PECOS PAC ID: 3870839491
Enrollment ID: I20240405002403
Provider NameJulianna Gage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619536505
PECOS PAC ID: 6800125691
Enrollment ID: I20240425000423
Provider NameRachel Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588084768
PECOS PAC ID: 5799157707
Enrollment ID: I20240429001991
Provider NameClaudia Fages
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730796426
PECOS PAC ID: 2769867381
Enrollment ID: I20240429002461
Provider NameKelly Board
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649719915
PECOS PAC ID: 4789930645
Enrollment ID: I20240429002568
Provider NameCrystelle Carmack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295031169
PECOS PAC ID: 2668641044
Enrollment ID: I20240430002037
Provider NameMarlisa Trevino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992113930
PECOS PAC ID: 1153541503
Enrollment ID: I20240503000487
Provider NameStephanie Trembulak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548702806
PECOS PAC ID: 1951725233
Enrollment ID: I20240506003593
Provider NameSara Modeste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881785426
PECOS PAC ID: 8224298112
Enrollment ID: I20240507002402
Provider NameShane Bridgman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447762380
PECOS PAC ID: 0749541902
Enrollment ID: I20240507003232
Provider NameStephanie Ten Eyck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487043923
PECOS PAC ID: 3274853940
Enrollment ID: I20240507004354
Provider NameRabia Chaudhry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598194409
PECOS PAC ID: 2163725409
Enrollment ID: I20240508000551
Provider NameJulie Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639565369
PECOS PAC ID: 0648586099
Enrollment ID: I20240508002184
Provider NameSusana Guzman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871963769
PECOS PAC ID: 5698061448
Enrollment ID: I20240508003773
Provider NameCarolyn Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326358425
PECOS PAC ID: 3870772908
Enrollment ID: I20240510002489
Provider NameTeresa Delbridge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174164248
PECOS PAC ID: 1658706734
Enrollment ID: I20240513002097
Provider NameKatrina Oconnor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033657267
PECOS PAC ID: 6507122132
Enrollment ID: I20240514000052
Provider NameAndrew Sumarsono
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750822094
PECOS PAC ID: 3577980564
Enrollment ID: I20240514001975
Provider NameAlison Mcgough Holliday
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992265581
PECOS PAC ID: 0840632618
Enrollment ID: I20240528003227
Provider NameAlec Petersen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013370568
PECOS PAC ID: 1153618186
Enrollment ID: I20240529000512
Provider NameJeffrey Lin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1326282716
PECOS PAC ID: 5193978369
Enrollment ID: I20240529003788
Provider NameDaniel Horn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780903971
PECOS PAC ID: 8224277991
Enrollment ID: I20240530002374
Provider NameMeghan Mcgrath
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689883134
PECOS PAC ID: 9638261241
Enrollment ID: I20240604003489
Provider NameJason Wong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821052242
PECOS PAC ID: 3375532559
Enrollment ID: I20240605002386
Provider NameBeth Vanairsdale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932277514
PECOS PAC ID: 8022028257
Enrollment ID: I20240605002512
Provider NameKim Czerwinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760959811
PECOS PAC ID: 5193766863
Enrollment ID: I20240606003654
Provider NameAshley Belbin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154865178
PECOS PAC ID: 5294019642
Enrollment ID: I20240607003211
Provider NameDevon Sharkey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942693387
PECOS PAC ID: 9436450533
Enrollment ID: I20240608000196
Provider NameSamuel Collier
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1508064114
PECOS PAC ID: 9830229202
Enrollment ID: I20240611002206
Provider NameNelia Jain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174844682
PECOS PAC ID: 3577702539
Enrollment ID: I20240611003039
Provider NameShana Noel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265942155
PECOS PAC ID: 6305108473
Enrollment ID: I20240612002420
Provider NameMaria Mogollon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629676614
PECOS PAC ID: 6709299225
Enrollment ID: I20240620000527
Provider NameErin Hopkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467897652
PECOS PAC ID: 8426365438
Enrollment ID: I20240625001537
Provider NamePalka Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144777830
PECOS PAC ID: 2264728468
Enrollment ID: I20240708003463
Provider NameCindy Suthar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750815981
PECOS PAC ID: 6204113194
Enrollment ID: I20240723000619
Provider NameAlexandrine Pinault
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174071971
PECOS PAC ID: 7315226511
Enrollment ID: I20240724002555
Provider NameMatthew Mendillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467090415
PECOS PAC ID: 8123459773
Enrollment ID: I20240822004691
Provider NameMaggie Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255870408
PECOS PAC ID: 5092055624
Enrollment ID: I20240828004900
Provider NameKerryann Fogarty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477032332
PECOS PAC ID: 7517201478
Enrollment ID: I20240905002204
Provider NameJenny Barr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629564380
PECOS PAC ID: 8022366202
Enrollment ID: I20240905003136
Provider NameKalee Gresko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780357293
PECOS PAC ID: 9032507082
Enrollment ID: I20240912002511
Provider NameRachel Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770058372
PECOS PAC ID: 9537413893
Enrollment ID: I20241001002549
Provider NameShelli Mckenzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679172787
PECOS PAC ID: 6507265154
Enrollment ID: I20241011001633
Provider NameHannah Mickle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427567197
PECOS PAC ID: 5991062242
Enrollment ID: I20241030001577
Provider NameBrittany Engle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851844518
PECOS PAC ID: 9830486349
Enrollment ID: I20241030003646
Provider NameThomas Koen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801353503
PECOS PAC ID: 0042543274
Enrollment ID: I20241106002041
Provider NameAndrea Worley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255953980
PECOS PAC ID: 2264815174
Enrollment ID: I20241107003022
Provider NameMegan Tyree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356808265
PECOS PAC ID: 4183053382
Enrollment ID: I20241107004218
Provider NameAmy Ellison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457731127
PECOS PAC ID: 5294043196
Enrollment ID: I20241108002487
Provider NameRobert Greaud
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457613390
PECOS PAC ID: 5799929766
Enrollment ID: I20241111000700
Provider NameErin Siciliano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073220786
PECOS PAC ID: 5597710939
Enrollment ID: I20241113003158
Provider NameAlannah Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023598307
PECOS PAC ID: 7618228131
Enrollment ID: I20241114003174
Provider NameJulia Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962763151
PECOS PAC ID: 1658521752
Enrollment ID: I20241121002220
Provider NameAmber Mckenzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417348657
PECOS PAC ID: 5890006654
Enrollment ID: I20241121002732
Provider NameKristin Tomlinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528291861
PECOS PAC ID: 9638216658
Enrollment ID: I20241121002969
Provider NameJoy King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881078632
PECOS PAC ID: 3870808843
Enrollment ID: I20241121004698
Provider NameLauren Strickland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235740259
PECOS PAC ID: 1254744816
Enrollment ID: I20241122001384
Provider NamePatrick Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851801229
PECOS PAC ID: 6709146715
Enrollment ID: I20241203001702
Provider NameMiranda Caccamise
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831539436
PECOS PAC ID: 3476782095
Enrollment ID: I20241206002988
Provider NameHeather Crites
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073080594
PECOS PAC ID: 0244563591
Enrollment ID: I20241210003871
Provider NameReena Karimpanamannil Alex
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639575582
PECOS PAC ID: 5890019129
Enrollment ID: I20241212001441
Provider NameKristen Hiatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861915845
PECOS PAC ID: 9032481189
Enrollment ID: I20241212001739
Provider NameRebecca Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144861485
PECOS PAC ID: 6901239169
Enrollment ID: I20241213003216

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.