| Erin L Mckibben, NP | |
|
471 Marker Rd, Versailles, OH 45380-9324 | |
| (937) 526-9834 | |
| (937) 526-9446 |
| Full Name | Erin L Mckibben |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 471 Marker Rd, Versailles, 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 |
|---|---|---|---|
| 1093235111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRNCNP020925 (Ohio) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 71007443A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upper Valley Medical Center | Troy, OH | Hospital |
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upper Valley Professional Corporation | 5597658138 | 29 |
| Entity Name | Upper Valley Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407872518 PECOS PAC ID: 5597658138 Enrollment ID: O20040206000038 |
| Entity Name | Premier Health Urgent Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134633761 PECOS PAC ID: 3870848088 Enrollment ID: O20180612000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin L Mckibben, NP 507 E Wood St, Versailles, OH 45380-1451 Ph: (937) 564-1378 | Erin L Mckibben, NP 471 Marker Rd, Versailles, OH 45380-9324 Ph: (937) 526-9834 |
Mrs. Janelle Nicole Brunswick, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 471 Marker Rd, Versailles, OH 45380 Phone: 937-526-9834 | |
Jennifer Michelle Phlipot, MS, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Marker Rd, Versailles, OH 45380 Phone: 937-526-9834 |