| Ann R Kooken, MD | |
|
3624 W Market St Ste 101, Fairlawn, OH 44333-4510 | |
| (330) 665-0555 | |
| (330) 665-0556 |
| Full Name | Ann R Kooken |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 26 Years |
| Location | 3624 W Market St Ste 101, Fairlawn, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043315666 | NPI | - | NPPES |
| 2376414 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 35081935K (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Dermatology And Skin Surgery, Llc | 1456679646 | 10 |
| Entity Name | Allied Dermatology And Skin Surgery, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932592698 PECOS PAC ID: 1456679646 Enrollment ID: O20150420001638 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann R Kooken, MD 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 Ph: (330) 665-0555 | Ann R Kooken, MD 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 Ph: (330) 665-0555 |
Dr. Kimberly Tamargo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3624 W Market St Ste 101, Fairlawn, OH 44333 Phone: 330-665-0555 | |
Dr. Allison J Moosally, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3624 W Market St, Suite 101, Fairlawn, OH 44333 Phone: 330-665-0555 Fax: 330-665-0556 | |
Dr. Gary D Lichten, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3624 W Market St, Fairlawn, OH 44333 Phone: 330-665-0555 Fax: 330-665-0556 | |
James F Libecco, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3624 W Market St, Fairlawn, OH 44333 Phone: 330-665-0555 Fax: 330-665-0556 | |
Valerie W. Fuller, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 55 Merz Blvd., Ste A, Fairlawn, OH 44333 Phone: 330-864-9000 Fax: 330-864-9004 | |
Abby L Vrable, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3624 W Market St Ste 101, Fairlawn, OH 44333 Phone: 330-665-0555 |