| Mrs Kristy Jo Jakeway, FNP-C | |
|
11376 Oak St, Lakeview, OH 43331-9293 | |
| (937) 869-8081 | |
| Not Available |
| Full Name | Mrs Kristy Jo Jakeway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 11376 Oak St, Lakeview, 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 |
|---|---|---|---|
| 1902255169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.019397 (Ohio) | Primary |
| 163WE0003X | Registered Nurse - Emergency | RN366667 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Mercer County Joint Township Community Hospital | Coldwater, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercer County Joint Township Community Hospital | 8820081755 | 59 |
| Entity Name | Mercer County Joint Township Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632 |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Entity Name | Mercy Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904 |
| Entity Name | Usacs Integrated Acute Care Services Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043805690 PECOS PAC ID: 9032527221 Enrollment ID: O20210428002191 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristy Jo Jakeway, FNP-C 11376 Oak St, Lakeview, OH 43331 Ph: (937) 869-8081 | Mrs Kristy Jo Jakeway, FNP-C 11376 Oak St, Lakeview, OH 43331-9293 Ph: (937) 869-8081 |