| Diana Marie Kellar, MSN | |
|
341 Youngstown Kingsville Rd Se, Vienna, OH 44473-9601 | |
| (330) 394-2305 | |
| (330) 394-1405 |
| Full Name | Diana Marie Kellar |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 341 Youngstown Kingsville Rd Se, Vienna, 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 |
|---|---|---|---|
| 1801238084 | NPI | - | NPPES |
| 0098717 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA14840NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Youngstown, Llc | 9234318270 | 110 |
| Entity Name | Mercy Health Physicians Youngstown, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Marie Kellar, MSN Po Box 636988, Cincinnati, OH 45263-6988 Ph: (888) 940-2722 | Diana Marie Kellar, MSN 341 Youngstown Kingsville Rd Se, Vienna, OH 44473-9601 Ph: (330) 394-2305 |
Tiffany Marie Foust, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 Youngstown Kingsville Rd Se, Vienna, OH 44473 Phone: 330-394-2305 Fax: 330-394-1405 |