Elizabeth L Mathis, CNP | |
1248 Kinneys Ln, Portsmouth, OH 45662-2994 | |
(740) 365-7290 | |
(740) 356-7938 |
Full Name | Elizabeth L Mathis |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1248 Kinneys Ln, Portsmouth, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003206046 | NPI | - | NPPES |
15070756 | Other | CAQH | |
7100719560 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN.CNP.0034195 (Ohio) | Primary |
Entity Name | Somc Medical Care Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth L Mathis, CNP 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | Elizabeth L Mathis, CNP 1248 Kinneys Ln, Portsmouth, OH 45662-2994 Ph: (740) 365-7290 |
Kevin Wolfe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Scioto Trl, Ste 200, Portsmouth, OH 45662 Phone: 740-353-8100 Fax: 740-353-8908 | |
Mrs. Crystal Marie Jordan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-1010 | |
Lynsey Arey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 Fax: 740-354-3254 | |
Michael L Purdy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7972 | |
Mrs. Stephanie Joan Lang, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-7702 Fax: 740-353-1662 | |
Mr. Joseph David Augustin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7938 |