| Kalie Nicole Flack, PA | |
|
5031 Forest Dr Ste C, New Albany, OH 43054-7088 | |
| (614) 647-2526 | |
| (877) 409-2415 |
| Full Name | Kalie Nicole Flack |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 5031 Forest Dr Ste C, New Albany, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427738152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.008418RX (Ohio) | Primary |
| Entity Name | Ohio Emergency Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
| Entity Name | Ohio Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184028524 PECOS PAC ID: 1658695424 Enrollment ID: O20150127000965 |
| Entity Name | Pain Zero, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912652603 PECOS PAC ID: 1850787169 Enrollment ID: O20220413000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Kalie Nicole Flack, PA Po Box 738247, Dallas, TX 75373-8247 Ph: (614) 647-2526 | Kalie Nicole Flack, PA 5031 Forest Dr Ste C, New Albany, OH 43054-7088 Ph: (614) 647-2526 |
Mrs. Idabelle Diaz-garcia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5065 Forest Dr Ste 101, New Albany, OH 43054 Phone: 614-618-0514 Fax: 614-333-8339 |
Mr. John Matthew Lanning Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7277 Smiths Mill Rd, Suite 200, New Albany, OH 43054 Phone: 614-221-6331 |
Mrs. Shana Kappeler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5040 Forest Dr, New Albany, OH 43054 Phone: 614-890-6555 |
Jennifer Lynn Kibbey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5040 Forest Dr, New Albany, OH 43054 Phone: 614-890-6555 Fax: 614-891-1484 |
Mr. Bradley M Wolf, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7277 Smiths Mill Rd, New Albany, OH 43054 Phone: 614-221-6331 |
Colin Mahlon Watson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5040 Forest Dr Ste 300, New Albany, OH 43054 Phone: 614-890-6555 |
Hannah Rose Rudek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5040 Forest Dr Ste 300, New Albany, OH 43054 Phone: 614-890-6555 |