| Jean M Knudsen, CNP | |
|
26376 John Rd, Olmsted Falls, OH 44138-1277 | |
| (440) 235-7101 | |
| Not Available |
| Full Name | Jean M Knudsen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 26376 John Rd, Olmsted Falls, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992032460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | COA 10790 NP (Ohio) | Primary |
| Entity Name | Stark Recovery Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912641481 PECOS PAC ID: 6002272309 Enrollment ID: O20230511000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean M Knudsen, CNP Po Box 246, North Olmsted, OH 44070-0246 Ph: (440) 250-7301 | Jean M Knudsen, CNP 26376 John Rd, Olmsted Falls, OH 44138-1277 Ph: (440) 235-7101 |
Savannah Moody, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7647 River Rd, Olmsted Falls, OH 44138 Phone: 440-503-0359 | |
Lidia Russo, MSN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26376 John Rd, Olmsted Falls, OH 44138 Phone: 440-235-7101 | |
Anita L Groeschke, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9345 Sussex Dr, Olmsted Falls, OH 44138 Phone: 440-503-4209 Fax: 440-888-0523 |