| Jennifer Rose Oliver, | |
|
1013 E Spring St, Saint Marys, OH 45885-2447 | |
| (419) 394-8664 | |
| (419) 394-1148 |
| Full Name | Jennifer Rose Oliver |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1013 E Spring St, Saint Marys, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952074155 | NPI | - | NPPES |
| 0465304 | Medicaid | OH | |
| 1344572-0001 | Other | OH | BWC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0028477 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.0028477 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Lake Health System | Saint marys, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jtdm Family Practice Llc | 2163415837 | 39 |
| Entity Name | Jtdm Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20200728002910 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Rose Oliver, 1140 S Knoxville Ave Ste D, Saint Marys, OH 45885-2609 Ph: (193) 001-1294 | Jennifer Rose Oliver, 1013 E Spring St, Saint Marys, OH 45885-2447 Ph: (419) 394-8664 |
Alex Michael Rowen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Saint Clair Ave, Saint Marys, OH 45885 Phone: 419-394-3335 | |
Jacqueline S Shriver, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885 Phone: 419-394-7314 Fax: 419-394-7313 | |
Kimberly Lynn Sadler, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 East Greenville Rd, Saint Marys, OH 45885 Phone: 419-394-3331 Fax: 419-394-3330 | |
Brittany Faye Schlarman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste C, Saint Marys, OH 45885 Phone: 419-394-9595 Fax: 419-394-9532 | |
Amanda Leigh Perry, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1140 S Knoxville Ave Ste C, Saint Marys, OH 45885 Phone: 419-394-9595 Fax: 419-394-9532 | |
Jayaben D Patel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885 Phone: 419-394-9959 Fax: 419-394-0255 | |
Mrs. Kimberly Wiener, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Saint Clair Ave, Saint Marys, OH 45885 Phone: 419-890-7970 Fax: 419-394-9556 |