Corey A Davis, CFNP | |
2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 | |
(937) 438-1115 | |
(937) 438-1291 |
Full Name | Corey A Davis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2912 Springboro Rd, Moraine, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285071399 | NPI | - | NPPES |
05299801 | Other | OH | AETNA |
000000820224 | Other | OH | BCBS OH |
0084911 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA .14495 NP (Ohio) | Primary |
Entity Name | Providence Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972533149 PECOS PAC ID: 2860386349 Enrollment ID: O20040215000006 |
Mailing Address | Practice Location Address |
---|---|
Corey A Davis, CFNP 4611 Laura Marie Dr, Waynesville, OH 45068-8944 Ph: (937) 286-1651 | Corey A Davis, CFNP 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 Ph: (937) 438-1115 |
Rachel Bird, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5348 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4651 | |
Mrs. Tamara Kay Thorn, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5348 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4600 Fax: 937-522-8799 | |
Christine Ann Zidek, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3033 Kettering Blvd, Ste 100, Moraine, OH 45439 Phone: 937-293-2133 Fax: 937-293-2161 | |
Stefanie Cain, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3033 Kettering Blvd Ste 100, Moraine, OH 45439 Phone: 937-293-2133 Fax: 855-252-2435 | |
Teresa Sue Thorpe, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2912 Springboro Rd West, Suite 201, Moraine, OH 45439 Phone: 937-297-8999 | |
Jane Ruthann Aridge, REGISTERED NURSE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Lori Ann Morgan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2921 W Alex Bell Rd, Moraine, OH 45459 Phone: 937-991-3601 |