Colleen J Mckinney, MD | |
540 S Trimble Rd, Mansfield, OH 44906-3418 | |
(419) 522-5454 | |
(419) 522-2981 |
Full Name | Colleen J Mckinney |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 540 S Trimble Rd, Mansfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275689788 | NPI | - | NPPES |
2230446 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35177063M (Ohio) | Primary |
Entity Name | Childrens Community Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386031896 PECOS PAC ID: 5092047084 Enrollment ID: O20191023003502 |
Mailing Address | Practice Location Address |
---|---|
Colleen J Mckinney, MD 120 Sturges Ave Ste 1, Mansfield, OH 44903-2399 Ph: (419) 522-5454 | Colleen J Mckinney, MD 540 S Trimble Rd, Mansfield, OH 44906-3418 Ph: (419) 522-5454 |
Achilles E Litao, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1029 S Trimble Rd, Mansfield, OH 44906 Phone: 419-522-3341 Fax: 419-522-1110 | |
Dr. Robert David Burns, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 S Trimble Rd, Mansfield, OH 44906 Phone: 419-522-3341 Fax: 419-522-1110 | |
Dr. Wade Wallace Wilde, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1029 S Trimble Rd, Mansfield, OH 44906 Phone: 419-521-2950 Fax: 419-522-0837 | |
Dr. Celia Jane Flinn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 S Trimble Rd, Mansfield, OH 44906 Phone: 419-522-3341 Fax: 419-522-1110 | |
Chandra R. Shaker, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 Sturges Ave Ste 1, Mansfield, OH 44903 Phone: 419-522-5454 Fax: 419-522-2981 | |
Dr. Jennifer Lynn Andrews, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 S Trimble Rd, Mansfield, OH 44906 Phone: 419-522-3341 Fax: 419-522-1110 |