| Mrs Anna Elise Gantz, | |
|
1400 W Main St Ste C, Bellevue, OH 44811-9088 | |
| (419) 484-5903 | |
| Not Available |
| Full Name | Mrs Anna Elise Gantz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1400 W Main St Ste C, Bellevue, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033812920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0033528 (Ohio) | Primary |
| Entity Name | Pain Management Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063831303 PECOS PAC ID: 0143453670 Enrollment ID: O20140616001217 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Anna Elise Gantz, 1400 W Main St Ste C, Bellevue, OH 44811-9088 Ph: (419) 484-5903 | Mrs Anna Elise Gantz, 1400 W Main St Ste C, Bellevue, OH 44811-9088 Ph: (419) 484-5903 |
Brandy Morris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5433 State Route 113, Bellevue, OH 44811 Phone: 419-483-2403 Fax: 419-484-1203 | |
Diana L. Rodriguez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5433 State Route 113, Bellevue, OH 44811 Phone: 419-483-2403 Fax: 419-484-1203 | |
Mrs. Barbara Lee Wahl, FNP-BC, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 W Main St, Bellevue, OH 44811 Phone: 419-483-4040 | |
Mrs. Lisa Jo Aichholz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 W Main St, Bellevue, OH 44811 Phone: 419-483-4040 Fax: 419-483-1307 | |
Mrs. Kristina Eberly, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 W Main St, Bellevue, OH 44811 Phone: 614-570-2718 | |
Pamela Sue Dorothea Cramer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1265 W Main St Ste A, Bellevue, OH 44811 Phone: 419-483-1991 |