Vicky M Gall, NP | |
2142 N Cove Blvd, Toledo, OH 43606-3895 | |
(419) 291-4225 | |
(419) 479-6193 |
Full Name | Vicky M Gall |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2142 N Cove Blvd, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780683557 | NPI | - | NPPES |
344428256102 | Other | OH | CARESOURCE |
2044504 | Medicaid | OH | |
000000312027 | Other | OH | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 01248 (Ohio) | Primary |
Entity Name | Promedica Central Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245444959 PECOS PAC ID: 6709975345 Enrollment ID: O20071204000485 |
Mailing Address | Practice Location Address |
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Vicky M Gall, NP 2142 N Cove Blvd, Toledo, OH 43606-3895 Ph: (419) 291-4225 | Vicky M Gall, NP 2142 N Cove Blvd, Toledo, OH 43606-3895 Ph: (419) 291-4225 |
Jennifer Dawn Trost, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4360 Fax: 419-251-5117 | |
Tearra Breeze Obafolahan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6916 Cloister Rd, Toledo, OH 43617 Phone: 567-298-2344 | |
Rocio Crosby, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-2878 | |
Lisa Bainter, APRN-NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2109 Hughes Dr Ste 760, Toledo, OH 43606 Phone: 419-291-7555 Fax: 419-479-2696 | |
Natalie Rae Marienthal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 W Central Ave Ste 100a, Toledo, OH 43606 Phone: 419-291-8400 | |
Karen Caputo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4101 | |
Michelle Michael, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Collingwood Blvd, Toledo, OH 43610 Phone: 419-255-9585 |