| Herman Lee Richard Funk Iii, MSN, APRN, FNP-C | |
|
1000 E Washington St, Medina, OH 44256-2170 | |
| (330) 721-5911 | |
| Not Available |
| Full Name | Herman Lee Richard Funk Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1000 E Washington St, Medina, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861958910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.024231 (Ohio) | Primary |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Medina Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083696710 PECOS PAC ID: 3072410125 Enrollment ID: O20031216000894 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Herman Lee Richard Funk Iii, MSN, APRN, FNP-C 428 Aqueduct St, Akron, OH 44303-1511 Ph: (330) 280-1638 | Herman Lee Richard Funk Iii, MSN, APRN, FNP-C 1000 E Washington St, Medina, OH 44256-2170 Ph: (330) 721-5911 |
Margaret Hosfield Maisel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5075 Windfall Rd, Medina, OH 44256 Phone: 330-722-4771 Fax: 330-722-5266 | |
Jessica Gutwein, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-721-5700 | |
Becky Coyner, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 E. Washington Street, Medina, OH 44256 Phone: 330-721-4955 | |
Caroline Molony, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3593 Reserve Commons Drive, Medina, OH 44256 Phone: 330-536-3746 | |
Cheryl Ann Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St Ste 2f, Medina, OH 44256 Phone: 330-723-7999 Fax: 330-764-9907 | |
Holly Zienkowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-466-6919 | |
Ms. Jessica Lynne Johnson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St Ste 4b, Medina, OH 44256 Phone: 330-721-5700 Fax: 330-721-5337 |