Amanda L Gillenwater, APRN-CNP | |
2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | |
(731) 394-1145 | |
Not Available |
Full Name | Amanda L Gillenwater |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 2159 Dogwood Ridge Rd, Wheelersburg, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649744384 | NPI | - | NPPES |
0331807 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN.454549 (Ohio) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.0027743 (Ohio) | Primary |
Entity Name | Extended Care Specialists, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190522003072 |
Entity Name | Eventus Wholehealth Midwest Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20211214001579 |
Mailing Address | Practice Location Address |
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Amanda L Gillenwater, APRN-CNP 36 Pemberton Cv, Jackson, TN 38305-5514 Ph: (731) 394-1145 | Amanda L Gillenwater, APRN-CNP 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 Ph: (731) 394-1145 |
Kayla M Tackett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8991 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-716-7086 | |
Jennifer Knapp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Deanna Crawford, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8101 Hayport Rd, Wheelersburg, OH 45694 Phone: 740-355-8562 | |
Mr. Brennon E Giles, NURSE PRACTIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-356-4100 Fax: 740-355-4182 | |
Kristina Wilburn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Adam C Bray, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9090 Fax: 740-354-1806 | |
Angela Tackett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9090 |