Mary B Blankenship, CFNP | |
13804 State Route 141, Kitts Hill, OH 45645-8848 | |
(740) 643-2082 | |
(740) 643-2126 |
Full Name | Mary B Blankenship |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 13804 State Route 141, Kitts Hill, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043272404 | NPI | - | NPPES |
2274828 | Medicaid | OH | |
7101172000 | Medicaid | WV | |
78011251 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP06557 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 022224 (Ohio) | Primary |
Entity Name | Ironton & Lawrence County Area Community Action Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093022287 PECOS PAC ID: 8820902497 Enrollment ID: O20031118000239 |
Entity Name | Ironton & Lawrence County Area Community Action Organization |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1215014113 PECOS PAC ID: 8820902497 Enrollment ID: O20100325000713 |
Entity Name | Ironton & Lawrence County Area Community Action Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912254574 PECOS PAC ID: 8820902497 Enrollment ID: O20130404000170 |
Entity Name | Ironton & Lawrence County Area Community Action Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770839276 PECOS PAC ID: 8820902497 Enrollment ID: O20130507000299 |
Mailing Address | Practice Location Address |
---|---|
Mary B Blankenship, CFNP 305 N 5th St, Ironton, OH 45638-1578 Ph: (740) 532-4858 | Mary B Blankenship, CFNP 13804 State Route 141, Kitts Hill, OH 45645-8848 Ph: (740) 643-2082 |
Tonnette Hoffman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13804 State Route 141, Kitts Hill, OH 45645 Phone: 740-643-2082 Fax: 740-643-2126 |