Victoria Alane Wise, CNP | |
1138 W High St, Lima, OH 45805-2725 | |
(419) 225-2726 | |
(419) 228-9909 |
Full Name | Victoria Alane Wise |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1138 W High St, 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 |
---|---|---|---|
1538850888 | NPI | - | NPPES |
CB6624 | Other | RAILROAD MEDICARE GROUP NUMBER | |
2348856 | Medicaid | OH | |
0019576 | Medicaid | OH | |
5374990001 | Other | DMERC REGION B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN.439782 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0033724 (Ohio) | Primary |
Entity Name | West Central Ohio Podiatry Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114100831 PECOS PAC ID: 4486698776 Enrollment ID: O20050617000044 |
Mailing Address | Practice Location Address |
---|---|
Victoria Alane Wise, CNP 1138 W High St, Lima, OH 45805-2725 Ph: (419) 225-2726 | Victoria Alane Wise, CNP 1138 W High St, Lima, OH 45805-2725 Ph: (419) 225-2726 |
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 |