| Mary B Blankenship, CFNP | |
|
13804 State Route 141, Kitts Hill, OH 45645-8848 | |
| (740) 643-2082 | |
| (740) 643-2126 |
| Full Name | Mary B Blankenship |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 13804 State Route 141, Kitts Hill, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043272404 | NPI | - | NPPES |
| 2274828 | Medicaid | OH | |
| 7101172000 | Medicaid | WV | |
| 78011251 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP06557 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 022224 (Ohio) | Primary |
| Entity Name | Ironton & Lawrence County Area Community Action Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093022287 PECOS PAC ID: 8820902497 Enrollment ID: O20031118000239 |
| Entity Name | Ironton & Lawrence County Area Community Action Organization |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1215014113 PECOS PAC ID: 8820902497 Enrollment ID: O20100325000713 |
| Entity Name | Ironton & Lawrence County Area Community Action Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912254574 PECOS PAC ID: 8820902497 Enrollment ID: O20130404000170 |
| Entity Name | Ironton & Lawrence County Area Community Action Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770839276 PECOS PAC ID: 8820902497 Enrollment ID: O20130507000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary B Blankenship, CFNP 305 N 5th St, Ironton, OH 45638-1578 Ph: (740) 532-4858 | Mary B Blankenship, CFNP 13804 State Route 141, Kitts Hill, OH 45645-8848 Ph: (740) 643-2082 |
Jeanne L Ingles, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13804 State Route 141, Kitts Hill, OH 45645 Phone: 740-643-2082 | |
Tonnette Hoffman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13804 State Route 141, Kitts Hill, OH 45645 Phone: 740-643-2082 Fax: 740-643-2126 |