| Ms Amy M King, NP | |
|
630 E River St, Elyria, OH 44035-5902 | |
| (440) 329-7500 | |
| Not Available |
| Full Name | Ms Amy M King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 630 E River St, Elyria, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043251663 | NPI | - | NPPES |
| P00663386 | Other | MEDICARE RAILROAD | |
| 2675574 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | NP-08416 (Ohio) | Primary |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Emh Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841299039 PECOS PAC ID: 7517931389 Enrollment ID: O20040826000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amy M King, NP 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7500 | Ms Amy M King, NP 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7500 |
Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 | |
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312 | |
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454 | |
Jennifer Gelske, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41201 Schadden Rd, Elyria, OH 44035 Phone: 440-324-0400 Fax: 440-324-0441 |