Kathleen M Fernan, DO | |
200 South Mill Street, Ridgway, PA 15853 | |
(814) 772-0722 | |
(814) 772-6934 |
Full Name | Kathleen M Fernan |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 21 Years |
Location | 200 South Mill Street, Ridgway, Pennsylvania |
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 |
---|---|---|---|
1770584070 | NPI | - | NPPES |
1016386070001 | Medicaid | PA | |
1016386070002 | Medicaid | PA | |
1833904 | Other | PA | HIGHMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS013170 (Pennsylvania) | Primary |
208D00000X | General Practice | OS013170 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Penn Highlands Community Nurses | St marys, PA | Home health agency |
Penn Highlands Elk | Saint marys, PA | Hospital |
Penn Highland Dubois | Dubois, PA | Hospital |
Saint Vincent Hospital | Erie, PA | Hospital |
Upmc Kane | Kane, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fernan Family Practice | 8022145671 | 2 |
Entity Name | Fernan Family Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659608982 PECOS PAC ID: 8022145671 Enrollment ID: O20100429001143 |
Mailing Address | Practice Location Address |
---|---|
Kathleen M Fernan, DO 200 South Mill Street, Ridgway, PA 15853 Ph: (814) 772-0722 | Kathleen M Fernan, DO 200 South Mill Street, Ridgway, PA 15853 Ph: (814) 772-0722 |
Mallory Lynn Park, MSN, CRNP, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 W Main St, Ridgway, PA 15853 Phone: 814-772-8122 | |
Ms. Catherine Rose Brigger, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 225 South St Ste 101, Ridgway, PA 15853 Phone: 148-520-6144 Fax: 814-520-6420 | |
Joseph G Coroso, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Metoxet St, Ridgway, PA 15853 Phone: 814-788-5555 Fax: 814-788-5655 | |
Olumuyiwa Adebona, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Metoxet St Ste A, Ridgway, PA 15853 Phone: 814-772-8122 Fax: 814-772-7278 |