| Patricia Ann Hackenburg, | |
|
5940 Oak Point Rd, Lorain, OH 44053-4100 | |
| (440) 988-3705 | |
| (440) 988-7433 |
| Full Name | Patricia Ann Hackenburg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 5940 Oak Point Rd, Lorain, 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 |
|---|---|---|---|
| 1801394085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.021824 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firelands Regional Medical Center | Sandusky, OH | Hospital |
| Memorial Hospital | Fremont, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Ohio Medical Specialists, Llc | 2769386192 | 276 |
| North Coast Professional Company, Llc | 6305810201 | 83 |
| Entity Name | Northern Ohio Medical Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214 |
| Entity Name | North Coast Professional Company, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648210 PECOS PAC ID: 6305810201 Enrollment ID: O20040825001179 |
| Entity Name | Mercy Health-allen Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801825997 PECOS PAC ID: 5092802389 Enrollment ID: O20080731000059 |
| Entity Name | Mercy Health Physicians Lorain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023347192 PECOS PAC ID: 1355474172 Enrollment ID: O20100730000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Ann Hackenburg, 5940 Oak Point Rd, Lorain, OH 44053-4100 Ph: (440) 988-3705 | Patricia Ann Hackenburg, 5940 Oak Point Rd, Lorain, OH 44053-4100 Ph: (440) 988-3705 |
Kaitlin Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Cooper Foster Park Rd W, Lorain, OH 44053 Phone: 440-204-5700 | |
Mrs. Veronica Marie Mediavilla, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Kolbe Rd Ste 11, Lorain, OH 44053 Phone: 440-222-4003 | |
Rita Susec, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 Kolbe Rd Ste 11, Lorain, OH 44053 Phone: 440-222-4003 Fax: 440-960-4922 | |
Ms. Kimberly Jean Bundridge, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Kolbe Rd, Palliative Care Dept, Lorain, OH 44053 Phone: 440-934-1458 Fax: 440-960-4922 | |
Olabisi Alabi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6100 W Meadow Farm Ln, Lorain, OH 44053 Phone: 440-506-9961 | |
Megan Toth, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-960-4000 | |
Kimberly Michelle Gilbert, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-5552 Fax: 440-204-4383 |