| Gina Kelley, CRNP | |
|
15655 State Route 170 Ste H, East Liverpool, OH 43920-9672 | |
| (330) 932-0183 | |
| (330) 932-0240 |
| Full Name | Gina Kelley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 15655 State Route 170 Ste H, East Liverpool, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669801536 | NPI | - | NPPES |
| 3910000958 | Medicaid | WV | |
| 0094665 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.15388 (Ohio) | Primary |
| Entity Name | River Valley Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891756870 PECOS PAC ID: 3971506932 Enrollment ID: O20060810000601 |
| Entity Name | Comprehensive Behavioral Health Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114985413 PECOS PAC ID: 7416948559 Enrollment ID: O20120710000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Kelley, CRNP Po Box 645409, Pittsburgh, PA 15264-5252 Ph: (330) 386-6442 | Gina Kelley, CRNP 15655 State Route 170 Ste H, East Liverpool, OH 43920-9672 Ph: (330) 932-0183 |
Mr. Matthew A Handley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 W 5th St, East Liverpool, OH 43920 Phone: 330-385-7200 | |
Dr. Tammy L Mccoy, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15655 State Route 170 Ste A, East Liverpool, OH 43920 Phone: 330-386-4303 Fax: 216-229-2630 | |
Isaac M Archibeque, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 48462 Bell School Rd, East Liverpool, OH 43920 Phone: 724-773-1995 | |
Domonique Shantel Wilson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15613 Pineview Dr Ste C, East Liverpool, OH 43920 Phone: 330-932-1594 | |
Mrs. Lisa Oliver, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15655 State Route 170 Ste A, East Liverpool, OH 43920 Phone: 330-386-4303 Fax: 216-229-2630 | |
Mrs. Breanne Michelle Montero, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16494 Saint Clair Ave, East Liverpool, OH 43920 Phone: 330-424-7221 | |
Jennifer Joseph, APRN.CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 W 6th St, East Liverpool, OH 43920 Phone: 330-932-1823 Fax: 330-932-1832 |