| Mara Marie Van Fossen, NP | |
|
107 Main St, Wintersville, OH 43953-3733 | |
| (740) 264-1656 | |
| (740) 266-2936 |
| Full Name | Mara Marie Van Fossen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 107 Main St, Wintersville, 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 |
|---|---|---|---|
| 1265169627 | NPI | - | NPPES |
| 0000385 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0031865 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Medical Ctr East &trinity Medical Ctr West | Steubenville, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity West | 5496648875 | 155 |
| Entity Name | Trinity West |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043234677 PECOS PAC ID: 5496648875 Enrollment ID: O20040209000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Marie Van Fossen, NP 380 Summit Avenue, Mso Physician Billing, Steubenville, OH 43952-2667 Ph: (740) 283-7597 | Mara Marie Van Fossen, NP 107 Main St, Wintersville, OH 43953-3733 Ph: (740) 264-1656 |
Seung-ha Eltringham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Welday Ave, Wintersville, OH 43953 Phone: 740-264-5770 | |
Carly L Rauch, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 Main St, Wintersville, OH 43953 Phone: 740-346-2702 Fax: 740-346-2645 | |
Amy Renea Dorsey, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Main St, Wintersville, OH 43953 Phone: 740-264-1656 Fax: 740-266-2936 | |
Mr. Page Hardsouk, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Main St, Wintersville, OH 43953 Phone: 740-346-2702 | |
Miss Erica Anne Kuchinski, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 Main St, Wintersville, OH 43953 Phone: 740-346-2702 Fax: 740-346-2645 | |
Tina Marie Tiberio, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Luray Dr, Wintersville, OH 43953 Phone: 304-797-7733 |