Kelly J Blickensderfer, CFNP | |
1215 Ridgewood Dr, Suite B, Bowling Green, OH 43402-2690 | |
(419) 352-9071 | |
(419) 352-9073 |
Full Name | Kelly J Blickensderfer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 1215 Ridgewood Dr, Bowling Green, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528145026 | NPI | - | NPPES |
2954147 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | COA.09007-NP (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wood County Hospital | Bowling green, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wood Health Company Llc | 7911800461 | 70 |
Entity Name | Wood Health Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598776916 PECOS PAC ID: 7911800461 Enrollment ID: O20040130000837 |
Mailing Address | Practice Location Address |
---|---|
Kelly J Blickensderfer, CFNP 745 Haskins Rd, Suite B, Bowling Green, OH 43402-1637 Ph: (419) 353-7069 | Kelly J Blickensderfer, CFNP 1215 Ridgewood Dr, Suite B, Bowling Green, OH 43402-2690 Ph: (419) 352-9071 |
Jennifer Devries, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Ridgewood Dr, Suite B, Bowling Green, OH 43402 Phone: 419-352-9071 Fax: 419-352-9073 | |
Alexander Norwood, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1094 N Main St, Bowling Green, OH 43402 Phone: 419-373-6687 | |
Jessica L Bostater, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 W Wooster St Rm 130, Bowling Green, OH 43402 Phone: 419-352-6890 | |
Colleen Barry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 N Prospect St, Bowling Green, OH 43402 Phone: 419-352-5387 | |
Lynne Zachman, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 970 W Wooster St Rm 130, Bowling Green, OH 43402 Phone: 419-352-6890 Fax: 419-353-2415 | |
Doreen Chieloka Onyekelu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1507 Gleneagles Dr, Bowling Green, OH 43402 Phone: 513-673-8006 | |
Marjean Beck, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 970 W Wooster St, Suite 130, Bowling Green, OH 43402 Phone: 419-352-6890 Fax: 419-353-2415 |