| Olivia Colleen James Funk, PA-C | |
|
25716 Wilson St, Coolville, OH 45723-8153 | |
| (740) 846-0008 | |
| (740) 773-4137 |
| Full Name | Olivia Colleen James Funk |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 25716 Wilson St, Coolville, 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 |
|---|---|---|---|
| 1598370553 | NPI | - | NPPES |
| 0419343 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 50.006647RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohiohealth O'bleness Hospital | Athens, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohiohealth Corporation | 6305758426 | 2295 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Ohiohealth Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811207160 PECOS PAC ID: 3476733700 Enrollment ID: O20110203000715 |
| Entity Name | Hopewell Health Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699010348 PECOS PAC ID: 9234049990 Enrollment ID: O20110209000712 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Colleen James Funk, PA-C Po Box 188, Chillicothe, OH 45601-0188 Ph: (740) 773-4366 | Olivia Colleen James Funk, PA-C 25716 Wilson St, Coolville, OH 45723-8153 Ph: (740) 846-0008 |
Emma L Lattea, CMA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25716 Wilson St, Coolville, OH 45723 Phone: 740-846-0008 Fax: 740-773-4137 |
Maya Saab, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25716 Wilson St, Coolville, OH 45723 Phone: 740-846-0008 Fax: 740-773-4137 |