Diana Marie Kellar, MSN | |
341 Youngstown Kingsville Rd Se, Vienna, OH 44473-9601 | |
(330) 394-2305 | |
(330) 394-1405 |
Full Name | Diana Marie Kellar |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 341 Youngstown Kingsville Rd Se, Vienna, Ohio |
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 |
---|---|---|---|
1801238084 | NPI | - | NPPES |
0098717 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA14840NP (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
Mh St Joseph Warren Hospital | Warren, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 391 |
Mercy Health Physicians Youngstown, Llc | 9234318270 | 115 |
Entity Name | Mercy Health Physicians Youngstown, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
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Diana Marie Kellar, MSN Po Box 636988, Cincinnati, OH 45263-6988 Ph: (888) 940-2722 | Diana Marie Kellar, MSN 341 Youngstown Kingsville Rd Se, Vienna, OH 44473-9601 Ph: (330) 394-2305 |
Tiffany Marie Foust, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 Youngstown Kingsville Rd Se, Vienna, OH 44473 Phone: 330-394-2305 Fax: 330-394-1405 |