MEDICARE: PATRICIA ANN MAHONEY

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1982442265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN MAHONEY

Provider Business Mailing Address
First Line	:	1105 SCHROCK RD STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1165
Country	:	US
Telephone Number	:	614-228-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 N CASSADY AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-1512
Country	:	US
Telephone Number	:	614-228-5209
Fax Number	:

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

Provider Enumeration Date	:	07/19/2024
Last Update Date	:	11/26/2024

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Directions to “ PATRICIA ANN MAHONEY ” Practice Location

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