| Miss Alysse Jayne Boyd, | |
|
10955 Capital Pkwy, Concord Township, OH 44077-9394 | |
| (312) 635-0973 | |
| (702) 977-1496 |
| Full Name | Miss Alysse Jayne Boyd |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 10955 Capital Pkwy, Concord Township, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003018763 | NPI | - | NPPES |
| 2661525 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50-004144 (Ohio) | Primary |
| 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 |
| Entity Name | Integrated Rehab Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20140701001452 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Alysse Jayne Boyd, Po Box 74008272, Chicago, IL 60674-8272 Ph: (312) 635-0973 | Miss Alysse Jayne Boyd, 10955 Capital Pkwy, Concord Township, OH 44077-9394 Ph: (312) 635-0973 |
Jeffrey Olley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7701 Marewood Pl, Concord Township, OH 44077 Phone: 440-488-4934 |
Emily Kay Mckeen, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7590 Auburn Rd, Concord Township, OH 44077 Phone: 440-375-8100 |
Zachary Knoeferl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8007 Auburn Rd, Concord Township, OH 44077 Phone: 440-375-5520 |
Ashley Frasca, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7950 Auburn Rd, Concord Township, OH 44077 Phone: 440-375-8100 |
Mrs. Kylee Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7590 Auburn Rd, Concord Township, OH 44077 Phone: 440-375-8100 |
Julia Wonsettler, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7590 Auburn Rd, Concord Township, OH 44077 Phone: 440-375-8100 |
Mrs. Cassandra Lynn Mckernan, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7580 Auburn Road, Ste. 301, Concord Township, OH 44077 Phone: 440-352-7546 Fax: 440-352-5260 |