| Nicklaus Freeman, | |
|
17273 State Route 104, Chillicothe, OH 45601-9718 | |
| (740) 773-1141 | |
| (740) 772-7095 |
| Full Name | Nicklaus Freeman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 17273 State Route 104, Chillicothe, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255974283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.025667 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.025667 (Ohio) | Primary |
| Entity Name | Central Ohio Primary Care Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194705194 PECOS PAC ID: 2769383785 Enrollment ID: O20040114000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicklaus Freeman, 17273 State Route 104, Chillicothe, OH 45601-9718 Ph: (740) 773-1141 | Nicklaus Freeman, 17273 State Route 104, Chillicothe, OH 45601-9718 Ph: (740) 773-1141 |
Traci A Powell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-8728 Fax: 740-775-7855 | |
Mrs. Lisa Elaine Vires, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4457 State Route 159, Chillicothe, OH 45601 Phone: 740-779-7813 | |
Kendall Izzo, PMHNP-BC, CPNP-PC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 N. Shawnee Lane, Chillicothe, OH 45601 Phone: 740-779-4888 | |
Carissa Mitchell, APRN. CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4435 State Route 159, Chillicothe, OH 45601 Phone: 740-542-3030 | |
Mrs. Megan D Kessler, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 | |
Thomas Shane Morgan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 | |
Charley Allen Roman, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 |