Stacy Eldridge, FNP | |
1134 N Main St, Bellefontaine, OH 43311-2379 | |
(937) 651-6820 | |
Not Available |
Full Name | Stacy Eldridge |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1134 N Main St, Bellefontaine, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265705743 | NPI | - | NPPES |
000000772667 | Other | IN | ANTHEM FAM MED PIN UNDER TIN 35-2030653 |
201072520 | Medicaid | IN | |
000001037727 | Other | IN | EMERGENCY MED PIN UNDER TIN 35-2030653 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71003974A (Indiana) | Primary |
163W00000X | Registered Nurse | 28137260A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mary Rutan Hospital | Bellefontaine, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mary Rutan Hospital | 9032013792 | 80 |
Entity Name | Mary Rutan Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548254931 PECOS PAC ID: 9032013792 Enrollment ID: O20031124000531 |
Mailing Address | Practice Location Address |
---|---|
Stacy Eldridge, FNP 205 E Palmer Rd, Bellefontaine, OH 43311-2281 Ph: (937) 592-4015 | Stacy Eldridge, FNP 1134 N Main St, Bellefontaine, OH 43311-2379 Ph: (937) 651-6820 |
Mindy Nicole Thompson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E Palmer Rd, Bellefontaine, OH 43311 Phone: 937-592-4015 | |
Justin Paul Gildow, F.N.P-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 E Columbus Ave, Bellefontaine, OH 43311 Phone: 937-599-1411 Fax: 937-599-4128 | |
Mrs. Jodi Jean Kiessling, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 E Columbus Ave Ste 1, Bellefontaine, OH 43311 Phone: 937-599-1411 | |
Kathleen Jeanette Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 Timber Trl, Bellefontaine, OH 43311 Phone: 937-592-3808 Fax: 937-593-8408 | |
Mrs. Leslie Lee Joseph, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 E Palmer Rd, Bellefontaine, OH 43311 Phone: 937-592-4015 | |
Dana Nicole Frazier, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1860 S Main Street, Bellefontaine, OH 43311 Phone: 937-592-0731 |