Dr Richard A Kern, MD | |
470 Silver Lane, Ste B, Gahanna, OH 43230 | |
(614) 933-0980 | |
(614) 933-0334 |
Full Name | Dr Richard A Kern |
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Gender | Male |
Speciality | Pediatrics |
Location | 470 Silver Lane, Gahanna, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174584650 | NPI | - | NPPES |
0691765 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35052682 (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 |
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Dr Richard A Kern, MD 470 Silver Lane, Ste B, Gahanna, OH 43230 Ph: (614) 933-0980 | Dr Richard A Kern, MD 470 Silver Lane, Ste B, Gahanna, OH 43230 Ph: (614) 933-0980 |
Katelyn Carlson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1085 Beecher Xing N, Gahanna, OH 43230 Phone: 614-741-8300 Fax: 614-741-8271 | |
Sean Michael Vellucci, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5175 Morse Rd, Suite 400, Gahanna, OH 43230 Phone: 614-741-4411 Fax: 614-741-4412 | |
Jennifer Killion Overbey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1085 Beecher Xing N Ste A, Gahanna, OH 43230 Phone: 614-741-8300 Fax: 614-741-8271 | |
Megan A King, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 470 Silver Ln Ste B, Gahanna, OH 43230 Phone: 614-933-0980 | |
Stephen M Canowitz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 314 Agler Rd, Gahanna, OH 43230 Phone: 614-944-9029 | |
Kathleen A. Costlow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1085 Beecher Xing N, Suite A, Gahanna, OH 43230 Phone: 614-741-8300 Fax: 614-741-8271 |