| Pearls Of Wisdom Psychiatric | |
|
5295 Oberlin Ave Ste A Lorain OH 44053-3454 | |
| (440) 444-1395 | |
| Not Available |
| Full Name | Pearls Of Wisdom Psychiatric |
|---|---|
| Speciality | Clinic/Center |
| Location | 5295 Oberlin Ave Ste A, Lorain, Ohio |
| Authorized Official Name and Position | Pamela Denise Pardon (RN MSN) |
| Authorized Official Contact | 4404441395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearls Of Wisdom Psychiatric 5295 Oberlin Ave Ste A Lorain OH 44053-3454 Ph: (440) 444-1395 | Pearls Of Wisdom Psychiatric 5295 Oberlin Ave Ste A Lorain OH 44053-3454 Ph: (440) 444-1395 |
| NPI Number | 1306491774 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Medicare PECOS PAC ID | 6507294519 |
|---|---|
| Medicare Enrollment ID | O20200324003958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306491774 | NPI | - | NPPES |
| 0133139 | Medicaid | OH |
| Provider Name | Pamela D Pardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730425356 PECOS PAC ID: 0749593630 Enrollment ID: I20200327002651 |
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