| Mary Elizabeth Penkala, CNS | |
|
6847 N Chestnut St Ste 115, Ravenna, OH 44266-3929 | |
| (330) 297-6055 | |
| Not Available |
| Full Name | Mary Elizabeth Penkala |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 35 Years |
| Location | 6847 N Chestnut St Ste 115, Ravenna, 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 |
|---|---|---|---|
| 1104260413 | NPI | - | NPPES |
| 0083512 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | APRN.CNS.01044 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Portage Medical Center | Ravenna, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 930 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Penkala, CNS 6847 N Chestnut St Ste 115, Ravenna, OH 44266-3929 Ph: (330) 297-6055 | Mary Elizabeth Penkala, CNS 6847 N Chestnut St Ste 115, Ravenna, OH 44266-3929 Ph: (330) 297-6055 |
Dr. Winola S. Sprague, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-1310 | |
Janet Bahle, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Cynthia Ann Majercik, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Lana F Schuette, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 6847 N. Chestnut Street, Medical Staff Office, Ravenna, OH 44266 Phone: 330-297-2461 Fax: 330-297-8463 | |
Edward Eichler, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 |