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NPI Code Detail

MEDICARE: MS. RACHEL ANNE MCKERNAN P.A.

MEDICARE: MS. RACHEL ANNE MCKERNAN P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50.007842RXOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275243404
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL ANNE MCKERNAN P.A.
Provider Business Mailing Address
First Line : 2000 AUBURN DR.
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4327
Country : US
Telephone Number : 440-646-1600
Fax Number : 440-646-1505
Provider Business Practice Location Address
First Line : 8140 NORTON PARKWAY
Second Line : STE. 220
City : MENTOR
State : OH
Zip : 44060-6017
Country : US
Telephone Number : 440-578-7546
Fax Number : 440-443-0326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2022
Last Update Date : 10/20/2025

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