| Nathan E Rider, NURSE PRACTITIONER | |
|
10 Thomas Hollow Rd, Lucasville, OH 45648-8889 | |
| (740) 259-5699 | |
| (740) 259-2186 |
| Full Name | Nathan E Rider |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 10 Thomas Hollow Rd, Lucasville, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669782413 | NPI | - | NPPES |
| 0053651 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11901 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ohio Medical Center Home Health Services | Portsmouth, OH | Home health agency |
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Somc Medical Care Foundation, Inc. | 9436061645 | 264 |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan E Rider, NURSE PRACTITIONER 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-7942 | Nathan E Rider, NURSE PRACTITIONER 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 Ph: (740) 259-5699 |
Justin D Nolen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Thomas Hollow Rd, Lucasville, OH 45648 Phone: 740-259-5699 Fax: 740-259-2186 | |
Amanda Bentley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6402 Millers Run Back Run Rd, Lucasville, OH 45648 Phone: 740-370-8884 |