| Nicole Michelle Kellner, PA | |
|
40 Medical Park Blvd, Suite A, Petersburg, VA 23805-9289 | |
| (804) 520-6730 | |
| (804) 520-6731 |
| Full Name | Nicole Michelle Kellner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 40 Medical Park Blvd, Petersburg, Virginia |
| 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 |
|---|---|---|---|
| 1245581677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110004771 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110004771 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Medical Group Llc | 4981751617 | 261 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Michelle Kellner, PA Po Box 402924, Atlanta, GA 30384-2924 Ph: (804) 320-2705 | Nicole Michelle Kellner, PA 40 Medical Park Blvd, Suite A, Petersburg, VA 23805-9289 Ph: (804) 520-6730 |
Douglas Cohrs, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 703-431-9975 | |
Michelle A Cooper, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-862-5000 | |
Brian Wayne Mccauley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Nina Thi Ong-pham, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Adam Haymaker, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Medical Park Blvd, Suite B, Petersburg, VA 23805 Phone: 804-520-6730 | |
Miss Shrinal Suryakant Patel, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Krysten M Bishop, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 |