| Lance Neeley, | |
|
1001 W Pike St, Jackson Center, OH 45334-6066 | |
| (937) 421-4081 | |
| Not Available |
| Full Name | Lance Neeley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1001 W Pike St, Jackson Center, 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 |
|---|---|---|---|
| 1548799562 | NPI | - | NPPES |
| 0252621 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.021905 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Lima Specialty Care Llc | 7012332364 | 229 |
| Entity Name | Wilson Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205886926 PECOS PAC ID: 4385549666 Enrollment ID: O20031201000170 |
| Entity Name | Mercy Medical Partners Northern Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669756532 PECOS PAC ID: 0244407823 Enrollment ID: O20120123000509 |
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Neeley, 1134 N Main St, Bellefontaine, OH 43311-2815 Ph: (937) 593-0245 | Lance Neeley, 1001 W Pike St, Jackson Center, OH 45334-6066 Ph: (937) 421-4081 |
Tina M Sosby, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 E Pike St, Jackson Center, OH 45334 Phone: 937-596-0456 Fax: 937-596-0462 |