Rachelle Bond, | |
1065 Grasmere Cir, Mansfield, OH 44906-2958 | |
(567) 274-3205 | |
Not Available |
Full Name | Rachelle Bond |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1065 Grasmere Cir, Mansfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578229670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN45096 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0031416 (Ohio) | Primary |
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 |
Entity Name | Third Street Community Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720407554 PECOS PAC ID: 2365423977 Enrollment ID: O20141020001750 |
Mailing Address | Practice Location Address |
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Rachelle Bond, 1065 Grasmere Cir, Mansfield, OH 44906-2958 Ph: () - | Rachelle Bond, 1065 Grasmere Cir, Mansfield, OH 44906-2958 Ph: (567) 274-3205 |
Amanda Nicole Lilly, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W 3rd St, Mansfield, OH 44906 Phone: 419-522-6191 Fax: 419-525-6723 | |
Brianna Cassidy, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 W 3rd St, Mansfield, OH 44906 Phone: 419-522-6191 | |
Laura Mae Blanton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 S Trimble Rd, Mansfield, OH 44907 Phone: 419-951-2020 | |
Denise Lynn Berger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2615 Springmill West Rd, Mansfield, OH 44903 Phone: 419-560-8141 | |
Mrs. Angela Lynn Granson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 70 Madison Rd, Mansfield, OH 44905 Phone: 419-589-9700 Fax: 419-589-2731 | |
Shannon Arlene Trzcinski, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 661 S Trimble Rd, Mansfield, OH 44906 Phone: 419-774-0478 Fax: 419-774-9887 | |
Jesse W Glass, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 N Main St, Mansfield, OH 44903 Phone: 740-361-9355 |