Kelly Ann Mash, is a
Family Medicine based in Lorain, Ohio. Kelly Ann Mash is licensed to practice in Ohio (license number APRN.CNP.0036816) and her current practice location is
3700 Kolbe Rd, Lorain, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 644-6621.
NPI number for Kelly Ann Mash is 1336984194 and her current mailing address is 2781 Country Club Blvd, Rocky River, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336984194.
Provider's Profile
Full Name | Kelly Ann Mash |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 3700 Kolbe Rd, Lorain, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336984194
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 07/23/2024
Medical Identifiers
Medical identifiers for Kelly Ann Mash such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336984194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0036816 (Ohio) | Secondary |
207Q00000X | Family Medicine | APRN.CNP.0036816 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ann Mash is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Ann Mash, 2781 Country Club Blvd, Rocky River, OH 44116-2370 Ph: (216) 644-6621 | Kelly Ann Mash, 3700 Kolbe Rd, Lorain, OH 44053-1611 Ph: (216) 644-6621 |
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