Amanda L Brock, MSN, APRN, FNP-C | |
110 Dublin Dr Ste A, Dover, OH 44622-7805 | |
(330) 364-8038 | |
Not Available |
Full Name | Amanda L Brock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 110 Dublin Dr Ste A, Dover, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093143844 | NPI | - | NPPES |
H2298500095054 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 341552 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Union Hospital | Dover, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Union Physician Services Llc | 0143366591 | 77 |
Entity Name | Union Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215169826 PECOS PAC ID: 0143366591 Enrollment ID: O20091015000294 |
Mailing Address | Practice Location Address |
---|---|
Amanda L Brock, MSN, APRN, FNP-C 659 Boulevard St, Dover, OH 44622-2026 Ph: (330) 602-0770 | Amanda L Brock, MSN, APRN, FNP-C 110 Dublin Dr Ste A, Dover, OH 44622-7805 Ph: (330) 364-8038 |
Shelby Randulic, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 659 Boulevard St, Dover, OH 44622 Phone: 330-343-3311 | |
Emily Reneker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 314 E 13th St, Dover, OH 44622 Phone: 330-204-7075 | |
Tina Marie Alsept, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Park Dr, Suite 103, Dover, OH 44622 Phone: 330-364-2311 Fax: 330-364-7802 | |
Mrs. Amber Dunlap-ott, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 897 E Iron Ave, Dover, OH 44622 Phone: 330-343-5555 | |
Samantha Quillen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Dublin Dr, Dover, OH 44622 Phone: 330-343-0753 | |
Ms. Stacee Faye Miller, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Union Ave, Suite 187, Dover, OH 44622 Phone: 330-343-4411 |