| New Millennium Healthcare Inc. | |
|
6803 Mayfield Rd Ste 409 Mayfield Hts OH 44124-2214 | |
| (440) 946-4662 | |
| Not Available |
| Full Name | New Millennium Healthcare Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6803 Mayfield Rd Ste 409, Mayfield Hts, Ohio |
| Authorized Official Name and Position | Inna Krasnyansky (INTERNAL MEDICINE DOCTOR/TIN OWNER) |
| Authorized Official Contact | 4409464662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Millennium Healthcare Inc. 6803 Mayfield Rd Ste 409 Mayfield Hts OH 44124-2214 Ph: (440) 946-4662 | New Millennium Healthcare Inc. 6803 Mayfield Rd Ste 409 Mayfield Hts OH 44124-2214 Ph: (440) 946-4662 |
| NPI Number | 1891703237 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 02/11/2020 |
| Medicare PECOS PAC ID | 5193823698 |
|---|---|
| Medicare Enrollment ID | O20070607000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891703237 | NPI | - | NPPES |
| CJ8248 | Other | OH | MEDICARE RAILROAD |
| 2731360 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Dolores A Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801849005 PECOS PAC ID: 0446147557 Enrollment ID: I20040303000440 |
| Provider Name | Inna Krasnyansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053312298 PECOS PAC ID: 2668572512 Enrollment ID: I20070709000085 |
| Provider Name | Yelena Bogatello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407198914 PECOS PAC ID: 4385887256 Enrollment ID: I20201016001747 |
| Provider Name | Cynthia D Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693770 PECOS PAC ID: 4284007196 Enrollment ID: I20230223001663 |
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