Jonathan Chandler Frederick, CNP | |
1344 W Seneca Ave, Tiffin, OH 44883-2652 | |
(419) 455-8140 | |
(419) 225-8878 |
Full Name | Jonathan Chandler Frederick |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1344 W Seneca Ave, Tiffin, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093569972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0036432 (Ohio) | Primary |
Entity Name | Incare Health Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235422403 PECOS PAC ID: 5092980730 Enrollment ID: O20111208000530 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Chandler Frederick, CNP 329 N West St, Lima, OH 45801-4332 Ph: (419) 221-3072 | Jonathan Chandler Frederick, CNP 1344 W Seneca Ave, Tiffin, OH 44883-2652 Ph: (419) 455-8140 |
Aimee Marie Cotten, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1344 W Seneca Ave, Tiffin, OH 44883 Phone: 419-455-8140 | |
Luke A Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 486 W Perry St, Tiffin, OH 44883 Phone: 419-455-8140 Fax: 419-225-8878 | |
Brenton M Hall, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 St Lawrence Dr Ste 103, Tiffin, OH 44883 Phone: 419-448-4622 Fax: 419-448-4808 | |
Ms. Velda Francesca Coleman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 486 W Perry St, Tiffin, OH 44883 Phone: 419-455-8140 Fax: 419-225-8878 | |
Mrs. Betsey Lynn Brady, C.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W Market St, Tiffin, OH 44883 Phone: 419-455-8150 Fax: 419-455-8159 | |
Ms. Hannah Marie Vaughn, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 St Lawrence Dr Ste 103, Tiffin, OH 44883 Phone: 419-448-4622 Fax: 419-448-4804 |