Mara Marie Van Fossen, NP | |
107 Main St, Wintersville, OH 43953-3733 | |
(740) 264-1656 | |
(740) 266-2936 |
Full Name | Mara Marie Van Fossen |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 107 Main St, Wintersville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265169627 | NPI | - | NPPES |
0000385 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0031865 (Ohio) | Primary |
Entity Name | Trinity West |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043234677 PECOS PAC ID: 5496648875 Enrollment ID: O20040209000132 |
Entity Name | East Ohio Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508480930 PECOS PAC ID: 6305260753 Enrollment ID: O20200720000706 |
Mailing Address | Practice Location Address |
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Mara Marie Van Fossen, NP 380 Summit Avenue, Mso Physician Billing, Steubenville, OH 43952-2667 Ph: (740) 283-7597 | Mara Marie Van Fossen, NP 107 Main St, Wintersville, OH 43953-3733 Ph: (740) 264-1656 |
Seung-ha Eltringham, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Welday Ave, Wintersville, OH 43953 Phone: 740-264-5770 | |
Sandra Lang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Luray Dr, Wintersville, OH 43953 Phone: 740-314-8258 Fax: 304-723-2195 | |
Carly L Rauch, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 Main St, Wintersville, OH 43953 Phone: 740-346-2702 Fax: 740-346-2645 | |
Amy Renea Dorsey, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Main St, Wintersville, OH 43953 Phone: 740-264-1656 Fax: 740-266-2936 | |
Mr. Page Hardsouk, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 150 Main St, Wintersville, OH 43953 Phone: 740-346-2702 | |
Miss Erica Anne Kuchinski, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 148 Main St, Wintersville, OH 43953 Phone: 740-346-2702 Fax: 740-346-2645 |