| Hannah Mallory, PA-C | |
|
3700 Kolbe Rd, Lorain, OH 44053-1611 | |
| (440) 960-4000 | |
| Not Available |
| Full Name | Hannah Mallory |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3700 Kolbe Rd, Lorain, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952021081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Ohio) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Medical Services of Suffolk County PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811235724 PECOS PAC ID: 8527209246 Enrollment ID: O20230922003105 |
| Entity Name | Small Hospital Innovations LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20250113001960 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Mallory, PA-C 3700 Kolbe Rd, Lorain, OH 44053-1611 Ph: (440) 960-4000 | Hannah Mallory, PA-C 3700 Kolbe Rd, Lorain, OH 44053-1611 Ph: (440) 960-4000 |
Caitlin Lee Crowell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3600 Kolbe Rd Ste 205, Lorain, OH 44053 Phone: 440-989-1800 Fax: 440-989-1801 |
Mr. David M Iliano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-960-4624 Fax: 440-960-4469 |
Courtney Pearl Adelman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-960-4000 |
Alexandra Lynn Lucak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5800 Cooper Foster Park Rd W, Lorain, OH 44053 Phone: 440-204-7800 Fax: 440-204-7480 |
Mr. Rylan Wikle, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3600 Kolbe Rd, Lorain, OH 44053 Phone: 440-930-6015 |
Kimberly Telmanik, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5172 Leavitt Rd, Lorain, OH 44053 Phone: 440-282-7420 Fax: 440-282-9855 |
Bhavmik Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3600 Kolbe Rd Ste 106, Lorain, OH 44053 Phone: 440-960-3954 Fax: 440-960-3956 |