Lisa A Gates, RN BSN | |
3033 Kettering Blvd Ste 100, Moraine, OH 45439 | |
(937) 293-2133 | |
(855) 252-2435 |
Full Name | Lisa A Gates |
---|---|
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 |
---|---|---|---|
1629228929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN 207875 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.024014 (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 |
Entity Name | Dr. Dirk Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801189592 PECOS PAC ID: 4880862796 Enrollment ID: O20110720000587 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
Mailing Address | Practice Location Address |
---|---|
Lisa A Gates, RN BSN 3033 Kettering Blvd Ste 100, Moraine, OH 45439-1948 Ph: (937) 293-2133 | Lisa A Gates, RN BSN 3033 Kettering Blvd Ste 100, Moraine, OH 45439 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 |