| Legacy Nurse Practitioners Mobile Healthcare, Llc | |
|
5797 Beechcroft Rd Ste F Columbus OH 43229-2758 | |
| (614) 500-2500 | |
| (614) 369-3723 |
| Full Name | Legacy Nurse Practitioners Mobile Healthcare, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5797 Beechcroft Rd Ste F, Columbus, Ohio |
| Authorized Official Name and Position | Victoria Overcomer (SENIOR NURSE PRACTITIONER) |
| Authorized Official Contact | 6145002500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Nurse Practitioners Mobile Healthcare, Llc 5797 Beechcroft Rd Ste F Columbus OH 43229-2758 Ph: (614) 500-2500 | Legacy Nurse Practitioners Mobile Healthcare, Llc 5797 Beechcroft Rd Ste F Columbus OH 43229-2758 Ph: (614) 500-2500 |
| NPI Number | 1326566738 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 05/13/2019 |
| Medicare PECOS PAC ID | 9931468790 |
|---|---|
| Medicare Enrollment ID | O20180124001302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326566738 | NPI | - | NPPES |
| 0258578 | Medicaid | OH |
| Provider Name | Victoria Overcomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285698894 PECOS PAC ID: 8123301207 Enrollment ID: I20170215002396 |
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