| Ms Nicole Basinger, CNP | |
|
10920 Road R, Columbus Grove, OH 45830-9796 | |
| (419) 604-9454 | |
| Not Available |
| Full Name | Ms Nicole Basinger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 10920 Road R, Columbus Grove, 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 |
|---|---|---|---|
| 1770177958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0028451 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oh Independent Medical Group Llc | 0648646034 | 136 |
| Mercy Health Physicians Lima Specialty Care Llc | 7012332364 | 254 |
| Entity Name | Mercy Health Physicians Lima Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
| Entity Name | Oh Independent Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497482111 PECOS PAC ID: 0648646034 Enrollment ID: O20221027000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nicole Basinger, CNP 10920 Road R, Columbus Grove, OH 45830-9796 Ph: (419) 604-9454 | Ms Nicole Basinger, CNP 10920 Road R, Columbus Grove, OH 45830-9796 Ph: (419) 604-9454 |
Tyler J Maag, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Progressive Dr, Columbus Grove, OH 45830 Phone: 419-659-6010 |
James L Niese, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Progressive Dr, Columbus Grove, OH 45830 Phone: 419-659-6010 Fax: 419-659-6012 |