Careconnectmd Ohio, Llc - Medicare Primary Care in Columbus, OH

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Careconnectmd Ohio, Llc is a medicare enrolled primary clinic (General Practice) in Columbus, Ohio. The current practice location for Careconnectmd Ohio, Llc is 20 S 3rd St Ste 210, Columbus, Ohio. For appointments, you can reach them via phone at (888) 789-9585. The mailing address for Careconnectmd Ohio, Llc is 3090 Bristol St Ste 200, Costa Mesa, California and phone number is (888) 789-9585.

Careconnectmd Ohio, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255971537. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (888) 789-9585.

Contact Information

Careconnectmd Ohio, Llc
20 S 3rd St Ste 210
Columbus
OH 43215-4206
(888) 789-9585
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCareconnectmd Ohio, Llc
SpecialityGeneral Practice
Location20 S 3rd St Ste 210, Columbus, Ohio
Authorized Official Name and PositionKim Phan (CEO)
Authorized Official Contact8887899585
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Careconnectmd Ohio, Llc
3090 Bristol St Ste 200
Costa Mesa
CA 92626-3061

Ph: (888) 789-9585		Careconnectmd Ohio, Llc
20 S 3rd St Ste 210
Columbus
OH 43215-4206

Ph: (888) 789-9585

NPI Details:

NPI Number1255971537
Provider Enumeration Date01/14/2020
Last Update Date02/09/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2567885577
Medicare Enrollment IDO20200709002068

Medical Identifiers

Medical identifiers for Careconnectmd Ohio, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255971537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Careconnectmd Ohio, Llc acts as a billing entity for following providers:
Provider NameKristine Marie Ross
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1528034279
PECOS PAC ID: 0042293391
Enrollment ID: I20040609000469
Provider NameKelly A Shank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922084425
PECOS PAC ID: 3476591355
Enrollment ID: I20050421000254
Provider NameJonathan Hollister
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1487621652
PECOS PAC ID: 4880627256
Enrollment ID: I20050915000778
Provider NameMelanie Caroline Schell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922148147
PECOS PAC ID: 7113935842
Enrollment ID: I20060322000433
Provider NameJohn M Weigand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780624965
PECOS PAC ID: 9234149758
Enrollment ID: I20060428000061
Provider NameStuart Kanter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730122193
PECOS PAC ID: 1052324449
Enrollment ID: I20060802000127
Provider NameKatherine L Montanaro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083763627
PECOS PAC ID: 2466453725
Enrollment ID: I20070130000002
Provider NameOrlando Hernandez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962405308
PECOS PAC ID: 4082618673
Enrollment ID: I20070927000479
Provider NameDouglas C Caserta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851599070
PECOS PAC ID: 8224928122
Enrollment ID: I20080819000046
Provider NameSurmeet Bedi
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1710911334
PECOS PAC ID: 8628095122
Enrollment ID: I20081125000344
Provider NamePeter D Hucek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548274871
PECOS PAC ID: 2961559372
Enrollment ID: I20090421000629
Provider NameAngela Marie Hoff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538391388
PECOS PAC ID: 0749320471
Enrollment ID: I20091210000485
Provider NameStephanie A.f. Dolan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154655314
PECOS PAC ID: 1557498995
Enrollment ID: I20100416000329
Provider NameAmy J Klinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205142270
PECOS PAC ID: 2264558196
Enrollment ID: I20100928000849
Provider NameArthur Hla Win
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780667444
PECOS PAC ID: 0547281974
Enrollment ID: I20101006001012
Provider NameAmanda R Esch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215248133
PECOS PAC ID: 0648445908
Enrollment ID: I20111214000964
Provider NameRana K Singh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518131085
PECOS PAC ID: 2264629237
Enrollment ID: I20120904000751
Provider NameMichelle F Galloway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700223740
PECOS PAC ID: 2769624659
Enrollment ID: I20130805000962
Provider NameSarah B Hartfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487094496
PECOS PAC ID: 5193959492
Enrollment ID: I20130927000352
Provider NameLindsey N Yokum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437583069
PECOS PAC ID: 1850526963
Enrollment ID: I20131025001628
Provider NameValarie R Langel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760896070
PECOS PAC ID: 7719103555
Enrollment ID: I20140730002763
Provider NameMisti Holland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265831036
PECOS PAC ID: 1658591243
Enrollment ID: I20141002000790
Provider NameJennifer Tillman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134536840
PECOS PAC ID: 0446472377
Enrollment ID: I20141110001581
Provider NameSarah E Hollis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720483324
PECOS PAC ID: 5193047124
Enrollment ID: I20141202002583
Provider NameCaryn Elizabeth Gorby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144626433
PECOS PAC ID: 7719201102
Enrollment ID: I20150112002252
Provider NameDiana Lyn Harless
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083002380
PECOS PAC ID: 5698091437
Enrollment ID: I20150313000680
Provider NameBethany M Cottrill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518364389
PECOS PAC ID: 5799002614
Enrollment ID: I20150402000215
Provider NameTara Dillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124405915
PECOS PAC ID: 8022322510
Enrollment ID: I20150728004854
Provider NameIsabel M Abba-mesue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124264379
PECOS PAC ID: 0648571521
Enrollment ID: I20151217002488
Provider NameKaren M Posey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013367945
PECOS PAC ID: 3072801604
Enrollment ID: I20161013000928
Provider NameAngela M Palitto
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902160278
PECOS PAC ID: 2860615945
Enrollment ID: I20170117001184
Provider NameCynthia L Mathias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053777946
PECOS PAC ID: 7113209644
Enrollment ID: I20170118001660
Provider NameCarole A Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396276572
PECOS PAC ID: 6103103072
Enrollment ID: I20170502000510
Provider NameChristopher J Rond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700265782
PECOS PAC ID: 5890064174
Enrollment ID: I20170629001042
Provider NameLauren E Bechtel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417460429
PECOS PAC ID: 8022378439
Enrollment ID: I20180202002035
Provider NameKathryn Holloway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922506211
PECOS PAC ID: 8325309032
Enrollment ID: I20180220002784
Provider NameMichelle P Waddell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619467941
PECOS PAC ID: 0143576330
Enrollment ID: I20180629002496
Provider NameOmar Ramos Diaz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922594167
PECOS PAC ID: 9638427396
Enrollment ID: I20180813001788
Provider NameAmanda J Sealock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972024545
PECOS PAC ID: 7911257571
Enrollment ID: I20180904000627
Provider NameAlison L Dubasak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053887166
PECOS PAC ID: 3971840109
Enrollment ID: I20190125003018
Provider NameAnthony Michael Durning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922577402
PECOS PAC ID: 1759629389
Enrollment ID: I20190206002284
Provider NameMeghan Elizabeth Dozier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649797366
PECOS PAC ID: 3274873260
Enrollment ID: I20190329001865
Provider NameCarol Snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952874943
PECOS PAC ID: 3072856178
Enrollment ID: I20190513000863
Provider NameBrian Keith Weikert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801448188
PECOS PAC ID: 9436486685
Enrollment ID: I20190809001748
Provider NameChad Wittekind
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538727060
PECOS PAC ID: 3375871866
Enrollment ID: I20190821003771
Provider NameCassaundra Grace Finney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427601442
PECOS PAC ID: 5496083651
Enrollment ID: I20190826002765
Provider NameJennifer Yost Vaden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356876940
PECOS PAC ID: 9931471273
Enrollment ID: I20200102001952
Provider NameCierra Christine Ramey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265078307
PECOS PAC ID: 2769811447
Enrollment ID: I20200331003330
Provider NameSummer M Link
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659991693
PECOS PAC ID: 5496185969
Enrollment ID: I20200423003108
Provider NameLisa Darnell Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487113312
PECOS PAC ID: 7911338645
Enrollment ID: I20200513003355
Provider NameRoblyn Skibinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356959670
PECOS PAC ID: 3678991668
Enrollment ID: I20200908001186
Provider NameCarla Suzanne Ledbetter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619581162
PECOS PAC ID: 4385062397
Enrollment ID: I20200908001941
Provider NameChristine Stallings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659984961
PECOS PAC ID: 4284052796
Enrollment ID: I20200916000126
Provider NameStacie L Laurence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063037828
PECOS PAC ID: 5395159453
Enrollment ID: I20210201001578
Provider NameRachel C Hutson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629679626
PECOS PAC ID: 6305250226
Enrollment ID: I20210203002801
Provider NameLisa Ann Popovich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891394235
PECOS PAC ID: 6305252057
Enrollment ID: I20210304001557
Provider NameTiffany Seneff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346829959
PECOS PAC ID: 4981012960
Enrollment ID: I20210412000629
Provider NameMinh Van Vo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982297719
PECOS PAC ID: 1355741695
Enrollment ID: I20210608003505
Provider NamePeggy D Gildenblatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649944919
PECOS PAC ID: 0840695565
Enrollment ID: I20210818003004
Provider NameMegan Elizabeth Langel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386225357
PECOS PAC ID: 7012312689
Enrollment ID: I20210819001458
Provider NameJeffrey S Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548855901
PECOS PAC ID: 0840696969
Enrollment ID: I20210914003802
Provider NameAsad Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053386938
PECOS PAC ID: 2567445059
Enrollment ID: I20220303000282
Provider NameMichelle Lee Woodyard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528719028
PECOS PAC ID: 5799170858
Enrollment ID: I20220328001928
Provider NameJalane Sernessa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154076271
PECOS PAC ID: 0749668150
Enrollment ID: I20220525002094
Provider NameNicholas Maximillian Kielhorn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821240128
PECOS PAC ID: 0244425403
Enrollment ID: I20220604000362
Provider NameEmily C Schmitter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942930839
PECOS PAC ID: 3870975733
Enrollment ID: I20220809002638
Provider NameAngela Marie Eten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376041061
PECOS PAC ID: 7618225962
Enrollment ID: I20220926001870
Provider NameAmber R Eiting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922737915
PECOS PAC ID: 0244609840
Enrollment ID: I20221202001459
Provider NameKristin Rae Wise
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811612401
PECOS PAC ID: 1355710815
Enrollment ID: I20221206001963
Provider NameAutumn Hylton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871278580
PECOS PAC ID: 7214390830
Enrollment ID: I20230830002027
Provider NameKofi Ntow Ansah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538798525
PECOS PAC ID: 3173978079
Enrollment ID: I20231012002783
Provider NameCourtney Nicole Foust
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013682186
PECOS PAC ID: 8527405323
Enrollment ID: I20240327003681
Provider NameTiffany Isbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104602614
PECOS PAC ID: 1658711544
Enrollment ID: I20240425001310
Provider NameBrittany Jacqueline Wiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669236337
PECOS PAC ID: 5496196370
Enrollment ID: I20240509000728
Provider NameLiliane Idylle
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114298957
PECOS PAC ID: 1355567223
Enrollment ID: I20240611003029
Provider NameOksana Gordeyeva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477246767
PECOS PAC ID: 5496296063
Enrollment ID: I20240923002982

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.