| Melissa Fox, | |
|
463 W Perry St, Tiffin, OH 44883-1958 | |
| (419) 314-4125 | |
| (855) 486-6180 |
| Full Name | Melissa Fox |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 463 W Perry St, Tiffin, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548698327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.15215 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.15215 (Ohio) | Primary |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Fox, 463 W Perry St, Tiffin, OH 44883-1958 Ph: (419) 314-4125 | Melissa Fox, 463 W Perry St, Tiffin, OH 44883-1958 Ph: (419) 314-4125 |
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 |
Jonathan Chandler Frederick, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1344 W Seneca Ave, Tiffin, OH 44883 Phone: 419-455-8140 Fax: 419-225-8878 |
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 |
Kimberly Maag, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 St Lawrence Dr, Tiffin, OH 44883 Phone: 567-207-2230 |
Ms. Velda Francesca Coleman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 486 W Perry St, Tiffin, OH 44883 Phone: 419-455-8140 Fax: 419-225-8878 |