Diana L Seebock, GNP | |
3033 Kettering Blvd Ste 100, Moraine, OH 45439-1948 | |
(937) 293-2133 | |
(937) 293-2161 |
Full Name | Diana L Seebock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3033 Kettering Blvd Ste 100, 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 |
---|---|---|---|
1619130077 | NPI | - | NPPES |
CS1431500185 | Other | OH | CARE SOURCE |
000000877722 | Other | OH | ANTHEM |
0105748 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA.06613-NP (Ohio) | Primary |
Entity Name | Vpa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932386059 PECOS PAC ID: 9234041948 Enrollment ID: O20031119000596 |
Mailing Address | Practice Location Address |
---|---|
Diana L Seebock, GNP 3033 Kettering Blvd Ste 100, Moraine, OH 45439-1948 Ph: (937) 293-2133 | Diana L Seebock, GNP 3033 Kettering Blvd Ste 100, Moraine, OH 45439-1948 Ph: (937) 293-2133 |
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 |