| Kelly K Parker, | |
|
100 7th Ave, 111, Chardon, OH 44024 | |
| (440) 286-8841 | |
| Not Available |
| Full Name | Kelly K Parker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 100 7th Ave, Chardon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609236926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 380065 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 18732 (Ohio) | Primary |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Entity Name | Heyday Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548855877 PECOS PAC ID: 5698183911 Enrollment ID: O20210426001104 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly K Parker, 100 7th Ave, Suite 111, Chardon, OH 44024-7804 Ph: (440) 286-8841 | Kelly K Parker, 100 7th Ave, 111, Chardon, OH 44024 Ph: (440) 286-8841 |
Laura Reed, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 Center St, Chardon, OH 44024 Phone: 440-286-9445 | |
Annamarie Salvador, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 | |
Jason John D'agata, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 371 Karen Dr, Chardon, OH 44024 Phone: 440-321-9776 | |
Amanda Hall, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 | |
Julia M Caschera, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13241 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-9166 Fax: 440-285-1806 | |
Geoffrey Thomas Patty, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6665 | |
Mrs. Satinder Kaur Dhillon-dougher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12085 Pheasant Ct, Chardon, OH 44024 Phone: 813-417-6086 |