Theresa Staten, | |
272 Hospital Rd, Chillicothe, OH 45601-9031 | |
(740) 779-7500 | |
Not Available |
Full Name | Theresa Staten |
---|---|
Gender | Female |
Speciality | Clinical Nurse Specialist - Gerontology |
Location | 272 Hospital Rd, Chillicothe, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689109407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN.334661 (Ohio) | Secondary |
364SG0600X | Clinical Nurse Specialist - Gerontology | APRN.CNS.019335 (Ohio) | Primary |
Entity Name | Mobile Medical Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
Entity Name | Dr. Dirk Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801189592 PECOS PAC ID: 4880862796 Enrollment ID: O20110720000587 |
Entity Name | Tapestry Telehealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20180110001393 |
Mailing Address | Practice Location Address |
---|---|
Theresa Staten, 724 N Washington St, Greenfield, OH 45123-1052 Ph: (937) 403-6568 | Theresa Staten, 272 Hospital Rd, Chillicothe, OH 45601-9031 Ph: (740) 779-7500 |
Peggy Foster, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 4449 State Route 159, Chillicothe, OH 45601 Phone: 740-775-1260 Fax: 740-773-1264 | |
Mrs. Rhonda Kay Elliott, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 740-779-8873 | |
Constance Renee Riquelme, R.N. Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 4449 State Route 159, Chillicothe, OH 45601 Phone: 740-772-7892 Fax: 740-773-1264 | |
Travis Allen Hassel, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 17273 0h-104, Chillicothe, OH 45601 Phone: 740-773-1141 |