Corey Miracle, | |
950 W Wooster St, Bowling Green, OH 43402-2699 | |
(419) 354-8900 | |
Not Available |
Full Name | Corey Miracle |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 950 W Wooster St, Bowling Green, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770302499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 0037699 (Ohio) | Primary |
Entity Name | Ultimate Care Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083202816 PECOS PAC ID: 2668887209 Enrollment ID: O20210212001392 |
Mailing Address | Practice Location Address |
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Corey Miracle, 950 W Wooster St, Bowling Green, OH 43402-2699 Ph: () - | Corey Miracle, 950 W Wooster St, Bowling Green, OH 43402-2699 Ph: (419) 354-8900 |
Jennifer Devries, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Ridgewood Dr, Suite B, Bowling Green, OH 43402 Phone: 419-352-9071 Fax: 419-352-9073 | |
Jessica L Bostater, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 W Wooster St Rm 130, Bowling Green, OH 43402 Phone: 419-352-6890 | |
Colleen Barry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 N Prospect St, Bowling Green, OH 43402 Phone: 419-352-5387 | |
Lynne Zachman, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 970 W Wooster St Rm 130, Bowling Green, OH 43402 Phone: 419-352-6890 Fax: 419-353-2415 | |
Doreen Chieloka Onyekelu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1507 Gleneagles Dr, Bowling Green, OH 43402 Phone: 513-673-8006 | |
Marjean Beck, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 970 W Wooster St, Suite 130, Bowling Green, OH 43402 Phone: 419-352-6890 Fax: 419-353-2415 | |
Roberta Jo Myers, RN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 838 E Wooster St, Bowling Green, OH 43402 Phone: 419-372-2271 Fax: 419-372-8010 |