| Ms Kelly Marie Marsh, APRN-CNP | |
|
4211 State Route 44 Ste 203, Rootstown, OH 44272-9733 | |
| (330) 325-3202 | |
| (833) 606-1565 |
| Full Name | Ms Kelly Marie Marsh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 4211 State Route 44 Ste 203, Rootstown, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447026422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.0035164 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0035164 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osup Community Outreach Llc | 5799008082 | 120 |
| Entity Name | Osup Community Outreach Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
| Entity Name | Alcove Ventures Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093191322 PECOS PAC ID: 1456669605 Enrollment ID: O20151007002805 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly Marie Marsh, APRN-CNP 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (330) 325-3202 | Ms Kelly Marie Marsh, APRN-CNP 4211 State Route 44 Ste 203, Rootstown, OH 44272-9733 Ph: (330) 325-3202 |
Michelle Lea Tobias, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4211 State Route 44 Unit 1550, Rootstown, OH 44272 Phone: 330-325-7171 | |
Leah Marie Minard, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4211 State Route 44, Rootstown, OH 44272 Phone: 330-325-3202 Fax: 833-606-1565 | |
Ashley Marie Miller, ARPN-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4211 State Route 44 Ste 203, Rootstown, OH 44272 Phone: 330-325-3202 Fax: 833-606-1565 |