Angelia M Mickle, FNP | |
4940 Cottonville Rd, Ste 100, Jamestown, OH 45335 | |
(937) 675-6830 | |
(937) 675-6835 |
Full Name | Angelia M Mickle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 4940 Cottonville Rd, Jamestown, 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 |
---|---|---|---|
1790117141 | NPI | - | NPPES |
0095517 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.14976 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | COA.14976-NP (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Springfield Regional Medical Center | Springfield, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mental Health Services For Clark Co Inc | 7810801032 | 15 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Mvhe Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
Entity Name | Mental Health Services For Clark Co Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982695706 PECOS PAC ID: 7810801032 Enrollment ID: O20040108000709 |
Entity Name | Samaritan Family Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659503886 PECOS PAC ID: 5092608372 Enrollment ID: O20040203000210 |
Mailing Address | Practice Location Address |
---|---|
Angelia M Mickle, FNP 4940 Cottonville Rd Ste 100, Jamestown, OH 45335-1522 Ph: (937) 675-2870 | Angelia M Mickle, FNP 4940 Cottonville Rd, Ste 100, Jamestown, OH 45335 Ph: (937) 675-6830 |
Dana N Scott, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 W Washington St, Jamestown, OH 45335 Phone: 937-901-6283 | |
Mrs. Angela Renee' Paugh, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 | |
Marcia Williams, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 Fax: 937-675-2873 | |
Mrs. Susan K Jordan, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335 Phone: 937-675-6830 Fax: 937-675-6835 | |
Grenetta L Ritenour, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 Fax: 937-675-2873 |