Mrs Anna Elise Gantz, | |
1400 W Main St Ste C, Bellevue, OH 44811-9088 | |
(419) 484-5903 | |
Not Available |
Full Name | Mrs Anna Elise Gantz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1400 W Main St Ste C, Bellevue, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033812920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0033528 (Ohio) | Primary |
Entity Name | Pain Management Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063831303 PECOS PAC ID: 0143453670 Enrollment ID: O20140616001217 |
Mailing Address | Practice Location Address |
---|---|
Mrs Anna Elise Gantz, 1400 W Main St Ste C, Bellevue, OH 44811-9088 Ph: (419) 484-5903 | Mrs Anna Elise Gantz, 1400 W Main St Ste C, Bellevue, OH 44811-9088 Ph: (419) 484-5903 |
Brandy Morris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5433 State Route 113, Bellevue, OH 44811 Phone: 419-483-2403 Fax: 419-484-1203 | |
Diana L. Rodriguez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5433 State Route 113, Bellevue, OH 44811 Phone: 419-483-2403 Fax: 419-484-1203 | |
Mrs. Barbara Lee Wahl, FNP-BC, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 W Main St, Bellevue, OH 44811 Phone: 419-483-4040 | |
Mrs. Lisa Jo Aichholz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 W Main St, Bellevue, OH 44811 Phone: 419-483-4040 Fax: 419-483-1307 | |
Mrs. Kristina Eberly, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 W Main St, Bellevue, OH 44811 Phone: 614-570-2718 | |
Heather A Dennis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 W Main St, Bellevue, OH 44811 Phone: 419-483-4040 |