| Mrs Pamela Denise Pardon, PMHNP-BC | |
|
5295 Oberlin Ave Ste A, Lorain, OH 44053-3454 | |
| (440) 444-1395 | |
| (440) 444-1127 |
| Full Name | Mrs Pamela Denise Pardon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5295 Oberlin Ave Ste A, Lorain, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730425356 | NPI | - | NPPES |
| 0133139 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN232663 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRNCNP17264 (Ohio) | Primary |
| Entity Name | Pearls Of Wisdom Psychiatric |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306491774 PECOS PAC ID: 6507294519 Enrollment ID: O20200324003958 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Pamela Denise Pardon, PMHNP-BC 1412 W 24th St, Same As Above, Lorain, OH 44052-4438 Ph: (440) 245-3344 | Mrs Pamela Denise Pardon, PMHNP-BC 5295 Oberlin Ave Ste A, Lorain, OH 44053-3454 Ph: (440) 444-1395 |
Kaitlin Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Cooper Foster Park Rd W, Lorain, OH 44053 Phone: 440-204-5700 | |
Mrs. Veronica Marie Mediavilla, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 Kolbe Rd Ste 11, Lorain, OH 44053 Phone: 440-222-4003 | |
Rita Susec, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 Kolbe Rd Ste 11, Lorain, OH 44053 Phone: 440-222-4003 Fax: 440-960-4922 | |
Ms. Kimberly Jean Bundridge, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Kolbe Rd, Palliative Care Dept, Lorain, OH 44053 Phone: 440-934-1458 Fax: 440-960-4922 | |
Olabisi Alabi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6100 W Meadow Farm Ln, Lorain, OH 44053 Phone: 440-506-9961 | |
Megan Toth, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-960-4000 | |
Kimberly Michelle Gilbert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-5552 Fax: 440-204-4383 |