Daniel Fenderson, APRN, CNP | |
2109 Hughes Dr # 720, Toledo, OH 43606-3858 | |
(419) 291-2077 | |
(419) 291-2122 |
Full Name | Daniel Fenderson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2109 Hughes Dr # 720, Toledo, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104390350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704308778 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.023196 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Promedica Toledo Hospital | Toledo, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Promedica Central Physicians | 2365348190 | 827 |
Entity Name | Promedica Central Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
Entity Name | Wellcare Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558567636 PECOS PAC ID: 1456442771 Enrollment ID: O20070801000094 |
Mailing Address | Practice Location Address |
---|---|
Daniel Fenderson, APRN, CNP 100 Madison Ave, Toledo, OH 43604-1516 Ph: () - | Daniel Fenderson, APRN, CNP 2109 Hughes Dr # 720, Toledo, OH 43606-3858 Ph: (419) 291-2077 |
Jennifer Dawn Trost, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4360 Fax: 419-251-5117 | |
Tearra Breeze Obafolahan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6916 Cloister Rd, Toledo, OH 43617 Phone: 567-298-2344 | |
Rocio Crosby, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-2878 | |
Lisa Bainter, APRN-NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2109 Hughes Dr Ste 760, Toledo, OH 43606 Phone: 419-291-7555 Fax: 419-479-2696 | |
Natalie Rae Marienthal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 W Central Ave Ste 100a, Toledo, OH 43606 Phone: 419-291-8400 | |
Karen Caputo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4101 | |
Michelle Michael, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Collingwood Blvd, Toledo, OH 43610 Phone: 419-255-9585 |