| Heather M Marshall, RN, MSN CNP | |
|
2600 Mote Dr, Covington, OH 45318-1260 | |
| (372) 089-0109 | |
| (937) 208-9020 |
| Full Name | Heather M Marshall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 2600 Mote Dr, Covington, 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 |
|---|---|---|---|
| 1710228606 | NPI | - | NPPES |
| 0088383 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.293630 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | COA.14724-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fidelity Health Care | Moraine, OH | Home health agency |
| 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 | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932386059 PECOS PAC ID: 9234041948 Enrollment ID: O20031119000596 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather M Marshall, RN, MSN CNP 3170 Kettering Blvd Bldg B, Moraine, OH 45439-1924 Ph: (937) 991-3188 | Heather M Marshall, RN, MSN CNP 2600 Mote Dr, Covington, OH 45318-1260 Ph: (372) 089-0109 |
Mrs. Joyce Ann Tebbe, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Mote Dr, Covington, OH 45318 Phone: 937-473-3025 Fax: 937-473-3196 |