Angela Phares, | |
178 Private Road 19423, South Point, OH 45680-8831 | |
(740) 263-2626 | |
(740) 894-1132 |
Full Name | Angela Phares |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 178 Private Road 19423, South Point, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023530110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 440126 (Ohio) | Primary |
363LF0000X | Nurse Practitioner - Family | APRN70618NP (West Virginia) | Secondary |
Entity Name | Mustard Seed Counseling And Behavioral Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114633773 PECOS PAC ID: 2860852571 Enrollment ID: O20230713000395 |
Mailing Address | Practice Location Address |
---|---|
Angela Phares, 178 Private Road 19423, South Point, OH 45680-8831 Ph: (740) 263-2626 | Angela Phares, 178 Private Road 19423, South Point, OH 45680-8831 Ph: (740) 263-2626 |
Allison R Nolan Phillips, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 Jefferson Ave, South Point, OH 45680 Phone: 304-429-1088 | |
Crystal Vance, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Township Road 1276, South Point, OH 45680 Phone: 304-633-0729 | |
Tori Combs, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 178 Private Road 19423, South Point, OH 45680 Phone: 740-451-0741 | |
Derek Morgan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 Township Road 1026, South Point, OH 45680 Phone: 740-744-4055 Fax: 740-451-0590 | |
Dee Ann Freeman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 384 County Road 120 S, South Point, OH 45680 Phone: 740-894-2080 Fax: 740-894-5406 | |
Brittneyann Moore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 Township Road 1026, South Point, OH 45680 Phone: 740-716-7086 |