| Kelly M Mcphillips, MD | |
|
29804 Lake Shore Blvd, Willowick, OH 44095-4611 | |
| (440) 833-2095 | |
| (440) 833-2096 |
| Full Name | Kelly M Mcphillips |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 29804 Lake Shore Blvd, Willowick, 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 |
|---|---|---|---|
| 1528593894 | NPI | - | NPPES |
| 0230630 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 57.029951 (Ohio) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Health | Concord, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Hospital System, Inc. | 6002713922 | 95 |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Mcphillips, MD 2500 Metrohealth Dr, Cleveland, OH 44109-1900 Ph: () - | Kelly M Mcphillips, MD 29804 Lake Shore Blvd, Willowick, OH 44095-4611 Ph: (440) 833-2095 |
Dr. Brian Joseph Juriga, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29804 Lakeshore Blvd., Willowick, OH 44095 Phone: 440-833-2010 Fax: 440-833-2096 | |
Dr. Gwen H Haas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29804 Lakeshore Blvd, Willowick, OH 44095 Phone: 440-833-2095 Fax: 440-833-2096 | |
Angela Brinkman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29804 Lakeshore Blvd., Lhpg Willowick Primary Care, Willowick, OH 44095 Phone: 440-833-2095 Fax: 440-833-2096 |