MEDICARE: PATRICIA SCHOLL F.N.P.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP06420	OH

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500019369	OTHER	OH	MEDICARE RAILROAD
5	CA1586	OTHER		GROUP MEDICARE RAILROAD

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	311413469061	OTHER	OH	CARESOURCE PIN

NPI Number	:	1336125673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA SCHOLL F.N.P.

Provider Business Mailing Address
First Line	:	PO BOX 188
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-0188
Country	:	US
Telephone Number	:	740-773-4366
Fax Number	:	740-775-7855

Provider Business Practice Location Address
First Line	:	2541 PANTHER DR NE
Second Line	:
City	:	NEW LEXINGTON
State	:	OH
Zip	:	43764-9081
Country	:	US
Telephone Number	:	740-342-4192
Fax Number	:	740-775-7855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	02/20/2015

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax: