New Manna CLG LLC
A Medicare group practice based in Beachwood, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2365789559), with 17 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2365789559
- Provider type
- Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- OH
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20190125001538 | OH | Part A Provider - Hospital | 1841789427 |
| O20200228000603 | OH | Part B Supplier - Clinic/Group Practice | 1972149268 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
New Manna CLG, LLC
dba Lake Health Beachwood Medical Center
- General Acute Care Hospital
- Beachwood, OH
- NPI 1841789427
-
New Manna CLG, LLC
- General Acute Care Hospital
- Beachwood, OH
- NPI 1972149268
Practice locations
- Beachwood, OH2
- Concord Township, OH1
- Willoughby, OH1
Clinicians 17
Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (5).
-
Carolina Barba-Willis, FNP-C
- Family Nurse Practitioner
- Cleveland, OH
- NPI 1497278766
-
Lisa Bean, NP
- Family Nurse Practitioner
- Conneaut, OH
- NPI 1629461082
-
Samantha Gold
- Critical Care Medicine Nurse Practitioner
- Cleveland, OH
- NPI 1770213308
-
Carol Hall, CNP
- Nurse Practitioner
- Cleveland, OH
- NPI 1528115532
-
Tatyana Kligman
- Adult Health Nurse Practitioner
- Garfield Heights, OH
- NPI 1205297678
-
Eric Justin Kobylski, PA-C
- Physician Assistant
- Wickliffe, OH
- NPI 1083170351
-
Pamela Koeth, PA
- Physician Assistant
- Cleveland, OH
- NPI 1831154046
-
Tina Koval, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- Willoughby, OH
- NPI 1518495316
-
Deborah A Manuel, PA
- Physician Assistant
- Concord TWP, OH
- NPI 1861799264
-
Kaitlyn Martuch
- Physician Assistant
- Parma, OH
- NPI 1134956659
-
Ronald Jay Morgan Jr., PA-C
- Physician Assistant
- Painesville, OH
- NPI 1912111535
-
Jordan Oddis
- Physician Assistant
- Concord TWP, OH
- NPI 1396343695
-
Lynnette K Prokop, PA
- Surgical Physician Assistant
- Memphis, TN
- NPI 1205292497
-
David Donald Rebman, FNP
- Family Nurse Practitioner
- Beachwood, OH
- NPI 1396493052
-
Shivani Shah
- Physician Assistant
- Cleveland, OH
- NPI 1386206381
-
Kimberly Lynn Trutza, APRN
- Family Nurse Practitioner
- Beachwood, OH
- NPI 1487108890
-
Eva Nicole Watts
- Acute Care Nurse Practitioner
- Medina, OH
- NPI 1568047728
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.