| Nicole A Klonaris, CNP | |
|
225 Elyria St, Lodi, OH 44254-1031 | |
| (330) 948-5533 | |
| (330) 948-2726 |
| Full Name | Nicole A Klonaris |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 225 Elyria St, Lodi, 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 |
|---|---|---|---|
| 1184978264 | NPI | - | NPPES |
| 1003849910 | Other | OH | LODI COMMUNITY CARE CENTER TYPE 2 NPI # |
| 2396081 | Other | OH | LODI COMMUNITY HOSPITAL MEDICAID GROUP # |
| 3613031 | Other | OH | LODI COMMUNITY HOSPITAL MEDICARE GROUP # |
| 0074796 | Medicaid | OH | |
| 1801807870 | Other | OH | LODI COMUNITY HOSPITAL TYPE 2 NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 13318NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Medical Group Inc | 4789682493 | 1735 |
| Entity Name | North East Ohio Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
| 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 | University Hospitals Ahuja Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609189604 PECOS PAC ID: 5496935538 Enrollment ID: O20120424000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole A Klonaris, CNP 225 Elyria St, Lodi, OH 44254-1031 Ph: (330) 948-5533 | Nicole A Klonaris, CNP 225 Elyria St, Lodi, OH 44254-1031 Ph: (330) 948-5533 |
Charlene Marie Nagel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Elyria St, Lodi, OH 44254 Phone: 330-948-9939 Fax: 330-948-2263 | |
Jodi Eileen Tincher, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Elyria St, Lodi, OH 44254 Phone: 330-948-5515 | |
Mrs. Kristin Carrie Trill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Elyria St, Lodi, OH 44254 Phone: 330-948-9939 Fax: 330-948-2263 | |
Brittny Queden, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Elyria St, Lodi, OH 44254 Phone: 330-948-5533 |