| Jonathan Chandler Frederick, CNP | |
|
1344 W Seneca Ave, Tiffin, OH 44883-2652 | |
| (419) 455-8140 | |
| (419) 225-8878 |
| Full Name | Jonathan Chandler Frederick |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1344 W Seneca Ave, Tiffin, 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 |
|---|---|---|---|
| 1093569972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0036432 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Partners Of Western Ohio | 9436139987 | 47 |
| Entity Name | Incare Health Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235422403 PECOS PAC ID: 5092980730 Enrollment ID: O20111208000530 |
| Entity Name | Health Partners Of Western Ohio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760952741 PECOS PAC ID: 9436139987 Enrollment ID: O20150313002043 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Chandler Frederick, CNP 329 N West St, Lima, OH 45801-4332 Ph: (419) 221-3072 | Jonathan Chandler Frederick, CNP 1344 W Seneca Ave, Tiffin, OH 44883-2652 Ph: (419) 455-8140 |
Aimee Marie Cotten, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1344 W Seneca Ave, Tiffin, OH 44883 Phone: 419-455-8140 | |
Luke A Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 486 W Perry St, Tiffin, OH 44883 Phone: 419-455-8140 Fax: 419-225-8878 | |
Megan Linnea Smith, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 St Lawrence Dr, Tiffin, OH 44883 Phone: 419-455-7480 | |
Brenton M Hall, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 St Lawrence Dr Ste 103, Tiffin, OH 44883 Phone: 419-448-4622 Fax: 419-448-4808 | |
Ms. Velda Francesca Coleman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 486 W Perry St, Tiffin, OH 44883 Phone: 419-455-8140 Fax: 419-225-8878 | |
Robin Kathleen Rosipko, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27 St Lawrence Dr Ste 103, Tiffin, OH 44883 Phone: 419-448-4622 |