| Pace Healthcare Llc | |
|
5225 Cleveland Rd Ste F Wooster OH 44691-5541 | |
| (330) 625-4900 | |
| (330) 685-9355 |
| Full Name | Pace Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5225 Cleveland Rd Ste F, Wooster, Ohio |
| Authorized Official Name and Position | Keith Wayne Hostetler (OWNER) |
| Authorized Official Contact | 3306254900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pace Healthcare Llc 13663 Sebe Dr Marshallville OH 44645-9767 Ph: (330) 466-0724 | Pace Healthcare Llc 5225 Cleveland Rd Ste F Wooster OH 44691-5541 Ph: (330) 625-4900 |
| NPI Number | 1992334858 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 3779914502 |
|---|---|
| Medicare Enrollment ID | O20200512001755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992334858 | NPI | - | NPPES |
| Provider Name | Rashelle Korbas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013345768 PECOS PAC ID: 6709011471 Enrollment ID: I20131105001258 |
| Provider Name | Kelly Renee Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538611934 PECOS PAC ID: 7416237557 Enrollment ID: I20161207002530 |
| Provider Name | Jessica Dawn Ungerer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295352565 PECOS PAC ID: 1456769926 Enrollment ID: I20210422003072 |
| Provider Name | Marianne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871174284 PECOS PAC ID: 1153739701 Enrollment ID: I20210723003239 |
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