| Christine Mautz, | |
|
100 Blackstone Ct, Granville, OH 43023-8032 | |
| (740) 616-6903 | |
| Not Available |
| Full Name | Christine Mautz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 100 Blackstone Ct, Granville, 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 |
|---|---|---|---|
| 1467997767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 020301 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boulder Care Provider Group Pa | 6901217447 | 59 |
| Boulder Care Provider Group Pa | 6901217447 | 59 |
| Boulder Care Provider Group Pa | 6901217447 | 59 |
| Boulder Care Provider Group Pa | 6901217447 | 59 |
| Boulder Care Provider Group Pa | 6901217447 | 59 |
| Entity Name | First Step Recovery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467826453 PECOS PAC ID: 3375823115 Enrollment ID: O20161213000975 |
| Entity Name | Boulder Care Provider Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649838590 PECOS PAC ID: 6901217447 Enrollment ID: O20220201002891 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Mautz, 100 Blackstone Ct, Granville, OH 43023-8032 Ph: () - | Christine Mautz, 100 Blackstone Ct, Granville, OH 43023-8032 Ph: (740) 616-6903 |
Caroline Dora Block-wilkins, PMHNP-BC, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5239 Columbus Rd Ste A, Granville, OH 43023 Phone: 614-924-7412 Fax: 614-683-5850 | |
Katherine L. Montanaro, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 Newark Granville Rd, Granville, OH 43023 Phone: 888-531-7444 Fax: 614-867-9889 | |
Mrs. Megan M Reed, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4122 North St, Granville, OH 43023 Phone: 440-313-8643 | |
Maija Bamford, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 590 Newark Granville Rd, Granville, OH 43023 Phone: 888-531-7444 Fax: 740-888-1374 | |
Caryn Gorby, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 Newark Granville Rd, Granville, OH 43023 Phone: 888-531-7444 Fax: 888-531-7444 | |
Mrs. Alissa Nicole Chapin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 Mannaseh Dr W, Granville, OH 43023 Phone: 614-975-0544 | |
Amy J Klinger, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5239 Columbus Rd Ste A, Granville, OH 43023 Phone: 614-924-7412 Fax: 614-683-5850 |