| Maryann V Daffeh, APRN-CNP | |
|
610 W Main St, Wilmington, OH 45177-2125 | |
| (937) 283-9970 | |
| (937) 283-9978 |
| Full Name | Maryann V Daffeh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 610 W Main St, Wilmington, 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 |
|---|---|---|---|
| 1699082198 | NPI | - | NPPES |
| P01622273 | Other | OH | RAILROAD MEDICARE |
| 3142209 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.11739 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.11739 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advanced Care Home Health Agency | Portland, OR | Home health agency |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Willamette Valley Medical Center | Mcminnville, OR | Hospital |
| Nanticoke Memorial Hospital | Seaford, DE | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healogics Specialty Physicians Of Missouri Llc | 2668791690 | 13 |
| Healogics Specialty Physicians Of Oregon Llc | 1254637846 | 10 |
| Healogics Specialty Physicians Of Delaware, Llc | 9436578390 | 4 |
| Entity Name | Healogics Specialty Physicians Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528468311 PECOS PAC ID: 2668791690 Enrollment ID: O20150424001069 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryann V Daffeh, APRN-CNP 610 W Main St, Wilmington, OH 45177-2125 Ph: (937) 283-9970 | Maryann V Daffeh, APRN-CNP 610 W Main St, Wilmington, OH 45177-2125 Ph: (937) 283-9970 |
Ross S Wickstrom, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 | |
Ms. Margaret M Brausch, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Polly S Vaughan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Fairway Dr, Wilmington, OH 45177 Phone: 937-974-5591 Fax: 937-730-0023 | |
Tiffany Burroughs, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Mrs. Jacquelynn R Mcconnaughey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2107 Rombach Ave, Wilmington, OH 45177 Phone: 937-383-1040 | |
Sandy W Neville, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 | |
Jason Christian Jones, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Main Street, Wilmington, OH 45177 Phone: 513-865-2246 Fax: 513-865-5596 |