| Corey Miracle, | |
|
950 W Wooster St, Bowling Green, OH 43402-2699 | |
| (419) 354-8900 | |
| Not Available |
| Full Name | Corey Miracle |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 950 W Wooster St, Bowling Green, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770302499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0037699 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Wood County Hospital | Bowling green, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Physicians | 2365348190 | 790 |
| Entity Name | Ultimate Care Emergency Physicians Llc |
|---|---|
| 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 |
|---|---|
| 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 | |
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 | |
Morgan G Rupp, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 S Main St Ste 300, Bowling Green, OH 43402 Phone: 419-806-4222 Fax: 419-806-4350 | |
Ms. Sandra ,arie Spino, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1840 Wast Gypsy Lane Rd, Bowling Green, OH 43402 Phone: 419-352-8402 Fax: 419-354-2169 |