| Mrs Nicole Martin, CNP | |
|
202 Hilty Dr, Pandora, OH 45877-9478 | |
| (419) 384-3251 | |
| Not Available |
| Full Name | Mrs Nicole Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 202 Hilty Dr, Pandora, 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 |
|---|---|---|---|
| 1013662840 | NPI | - | NPPES |
| APRN.CNP.0030846 | Other | OH | BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0030846 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blanchard Valley Hospital | Findlay, OH | Hospital |
| Bluffton Hospital | Bluffton, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pandora Family Physicians, Inc. | 8123001963 | 6 |
| Blanchard Valley Medical Practice Llc | 9234168147 | 74 |
| Entity Name | Pandora Family Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770564387 PECOS PAC ID: 8123001963 Enrollment ID: O20040611000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Martin, CNP 202 Hilty Dr, Pandora, OH 45877-9478 Ph: (418) 384-3251 | Mrs Nicole Martin, CNP 202 Hilty Dr, Pandora, OH 45877-9478 Ph: (419) 384-3251 |
Zachary Charles Niese, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2040 Road P, Pandora, OH 45877 Phone: 419-615-2983 Fax: 833-629-0555 | |
Jill Horner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Hilty Dr, Pandora, OH 45877 Phone: 419-384-3251 |