| Pinnacle Palliative Providers, Llc | |
|
4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 | |
| (330) 754-4431 | |
| (330) 244-8839 |
| Full Name | Pinnacle Palliative Providers, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4580 Stephens Cir Nw Ste 202, Canton, Ohio |
| Authorized Official Name and Position | Brian Mcclain (CEO) |
| Authorized Official Contact | 3307544431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Palliative Providers, Llc 4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 Ph: (330) 754-4431 | Pinnacle Palliative Providers, Llc 4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 Ph: (330) 754-4431 |
| NPI Number | 1710769963 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 7012351117 |
|---|---|
| Medicare Enrollment ID | O20240216001450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710769963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abby Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215351556 PECOS PAC ID: 6002049210 Enrollment ID: I20140423001476 |
| Provider Name | Jacqueline Leigh Croston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245601103 PECOS PAC ID: 6002126182 Enrollment ID: I20151102000536 |
| Provider Name | Julie Michelle White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609407170 PECOS PAC ID: 4284062845 Enrollment ID: I20200312001760 |
| Provider Name | Cristina Dawn Ilijevski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154023315 PECOS PAC ID: 2163897232 Enrollment ID: I20230404001328 |
| Provider Name | Madeline Hudak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770103665 PECOS PAC ID: 8820410624 Enrollment ID: I20240530001305 |
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