| Wyatt Mingus, MSN,APRN, FNP-C | |
|
1901 Argonne Rd, Portsmouth, OH 45662-2827 | |
| (740) 991-0911 | |
| Not Available |
| Full Name | Wyatt Mingus |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1901 Argonne Rd, Portsmouth, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588370456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0033157 (Ohio) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3018912 (Kentucky) | Secondary |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt Mingus, MSN,APRN, FNP-C 480 Indian Mound Dr, Mt Sterling, KY 40353 Ph: (859) 398-2001 | Wyatt Mingus, MSN,APRN, FNP-C 1901 Argonne Rd, Portsmouth, OH 45662-2827 Ph: (740) 991-0911 |
Kevin Wolfe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Scioto Trl, Ste 200, Portsmouth, OH 45662 Phone: 740-353-8100 Fax: 740-353-8908 | |
Elizabeth L Mathis, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-365-7290 Fax: 740-356-7938 | |
Mrs. Crystal Marie Jordan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-1010 | |
Lynsey Arey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 Fax: 740-354-3254 | |
Michael L Purdy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7972 | |
Mrs. Stephanie Joan Lang, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-7702 Fax: 740-353-1662 | |
Mr. Joseph David Augustin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7938 |