| Kimberly Lynette Glenn, CNP | |
|
855 Coshocton Ave Ste H, Mount Vernon, OH 43050-1975 | |
| (740) 224-3922 | |
| Not Available |
| Full Name | Kimberly Lynette Glenn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 855 Coshocton Ave Ste H, Mount Vernon, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992176606 | NPI | - | NPPES |
| 0148226 | Medicaid | OH | |
| 1992176606 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.18224 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbus Suboxone Doctors Llc | 8921341256 | 3 |
| Entity Name | Northern Ohio Medical Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214 |
| Entity Name | Columbus Suboxone Doctors Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760940696 PECOS PAC ID: 8921341256 Enrollment ID: O20190529002893 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Lynette Glenn, CNP 855 Coshocton Ave Ste H, Mount Vernon, OH 43050-1975 Ph: (740) 224-3922 | Kimberly Lynette Glenn, CNP 855 Coshocton Ave Ste H, Mount Vernon, OH 43050-1975 Ph: (740) 224-3922 |
Tabitha Marrie Baughman, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 Birch St, C, Mount Vernon, OH 43050 Phone: 740-501-4705 | |
Alyssa Romanko, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 503 Wooster Rd, Mount Vernon, OH 43050 Phone: 740-326-6552 | |
Kori L Kirkhope, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 Fax: 740-392-0167 | |
Laura Eichenlaub, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 | |
Mrs. Jill Hunter, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 | |
Mrs. Sydny Alexis Dorsey, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Harcourt Rd Ste 2, Mount Vernon, OH 43050 Phone: 614-987-8847 | |
Autumn Marie Viars, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8402 Blackjack Rd, Mount Vernon, OH 43050 Phone: 419-565-6772 |