| Jennifer Lynne Datta, NP | |
|
3124 Bean Oller Rd, Delaware, OH 43015-9220 | |
| (740) 369-6516 | |
| Not Available |
| Full Name | Jennifer Lynne Datta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 3124 Bean Oller Rd, Delaware, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083676969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10801-NP (Ohio) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 10801-NP (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwestern Recovery Center, Llc | 5294095956 | 4 |
| Entity Name | Marion Pain Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326360082 PECOS PAC ID: 8224166996 Enrollment ID: O20100517000892 |
| Entity Name | Southwestern Recovery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295241933 PECOS PAC ID: 5294095956 Enrollment ID: O20180129001817 |
| Entity Name | Interim Healthcare Palliative Care Of The Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851911440 PECOS PAC ID: 4688085301 Enrollment ID: O20201201000816 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynne Datta, NP 3124 Bean Oller Rd, Delaware, OH 43015-9220 Ph: (740) 369-6516 | Jennifer Lynne Datta, NP 3124 Bean Oller Rd, Delaware, OH 43015-9220 Ph: (740) 369-6516 |
Scott Jeffrey Blanchard, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1871 W William St, Delaware, OH 43015 Phone: 740-363-4373 | |
Michael Fomenky, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 W Wind Rd, Delaware, OH 43015 Phone: 000-000-0000 | |
Chantel Adora Williams, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 Treeline Way, Delaware, OH 43015 Phone: 610-563-1743 | |
Michelle L Rapach, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 W Central Ave Ste 204, Delaware, OH 43015 Phone: 740-615-0400 Fax: 740-615-0401 | |
Teresa Marie Matzke, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-615-1000 Fax: 740-615-2565 | |
Kathy Marie Magee, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 S Franklin St, Delaware, OH 43015 Phone: 740-816-6955 Fax: 740-869-3397 |