| Pamela Goines, CNP | |
|
1509 S Conwell Ave, Willard, OH 44890-9448 | |
| (419) 964-5140 | |
| (419) 964-5722 |
| Full Name | Pamela Goines |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1509 S Conwell Ave, Willard, 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 |
|---|---|---|---|
| 1194132365 | NPI | - | NPPES |
| 0108561 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.16194 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health - Willard Hospital | Willard, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians North Specialty Care Llc | 1951707884 | 305 |
| Entity Name | Mercy Health Physicians-north Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
| Entity Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Goines, CNP 1509 S Conwell Ave, Willard, OH 44890-9448 Ph: (419) 964-5140 | Pamela Goines, CNP 1509 S Conwell Ave, Willard, OH 44890-9448 Ph: (419) 964-5140 |
Tammy Lynn Bryant, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 Crestwood Dr, Willard, OH 44890 Phone: 419-935-0196 Fax: 419-933-7616 | |
Matthew Aaron Clingman, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Neal Zick Rd, Willard, OH 44890 Phone: 419-993-2811 Fax: 419-933-4502 | |
Kaleigh Donnamiller, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 Crestwood Dr, Willard, OH 44890 Phone: 419-935-0196 Fax: 419-933-7616 | |
Wendy Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Neal Zick Rd, Willard, OH 44890 Phone: 419-964-5000 | |
Chelsea Kreuter, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Wessor Ave, Willard, OH 44890 Phone: 419-792-2544 | |
Mrs. Susan M Krebs, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Neal Zick Rd, Willard, OH 44890 Phone: 419-933-2811 Fax: 419-933-4502 |