| PA Post Acute Services PC | |
|
8055 Addison Rd Masury OH 44438-1204 | |
| (330) 448-2547 | |
| Not Available |
| Full Name | PA Post Acute Services PC |
|---|---|
| Speciality | General Practice |
| Location | 8055 Addison Rd, Masury, Ohio |
| Authorized Official Name and Position | Robert Shoemaker (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5132529597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| PA Post Acute Services PC Po Box 632266 Cincinnati OH 45263-2266 Ph: (513) 489-7100 | PA Post Acute Services PC 8055 Addison Rd Masury OH 44438-1204 Ph: (330) 448-2547 |
| NPI Number | 1255057063 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/27/2024 |
| Medicare PECOS PAC ID | 7911374905 |
|---|---|
| Medicare Enrollment ID | O20221103002406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255057063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Abigail S. Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821682154 PECOS PAC ID: 0648676874 Enrollment ID: I20210913003061 |
| Provider Name | Yuva Timsina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619639028 PECOS PAC ID: 9133518426 Enrollment ID: I20211108000261 |
| Provider Name | Nicole Shellhammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952175028 PECOS PAC ID: 1658724612 Enrollment ID: I20240126000979 |
| Provider Name | Rosemary Szparagowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962856815 PECOS PAC ID: 8123312899 Enrollment ID: I20251229003387 |