Mrs Melissa Ann Fogt, APRN-CNP | |
1220 E Elm St Ste 205, Lima, OH 45804-2898 | |
(419) 998-4478 | |
(419) 998-4479 |
Full Name | Mrs Melissa Ann Fogt |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1220 E Elm St Ste 205, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073106746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0028377 (Ohio) | Primary |
Entity Name | Lima Memorial Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
Entity Name | The Little Clinic Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336 |
Mailing Address | Practice Location Address |
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Mrs Melissa Ann Fogt, APRN-CNP 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 226-5018 | Mrs Melissa Ann Fogt, APRN-CNP 1220 E Elm St Ste 205, Lima, OH 45804-2898 Ph: (419) 998-4478 |
Stacy Jo Klass, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804 Phone: 419-227-5298 Fax: 419-227-5879 | |
Jocelyn Leigh Sherman, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Bellefontaine Ave Ste 245, Lima, OH 45804 Phone: 419-998-8230 | |
Logan Michael Rieman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015 | |
Holly A Archer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2195 Allentown Rd, Lima, OH 45805 Phone: 419-227-2245 Fax: 419-229-1573 | |
Cassandra Baumgartner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E 8th St, Lima, OH 45804 Phone: 419-221-3072 | |
Jessica A Dailey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 N Cable Rd, Lima, OH 45805 Phone: 419-228-2600 Fax: 419-228-1100 | |
Mrs. Ruth Ann Grothouse, C-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 W High St, Suite 300, Lima, OH 45801 Phone: 419-229-6781 Fax: 419-229-3490 |