| Raymond W Mick, CNP | |
|
1092 Jefferson St, Greenfield, OH 45123-8319 | |
| (937) 981-1121 | |
| (937) 981-5660 |
| Full Name | Raymond W Mick |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 1092 Jefferson St, Greenfield, 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 |
|---|---|---|---|
| 1437141561 | NPI | - | NPPES |
| 2499005 | Medicaid | OH | |
| 363844 | Other | OH | RHC MEDICARE FAC # |
| 363843 | Other | OH | RHC MEDICARE 2ND FAC NUM |
| 311674981002 | Other | OH | TRI-CARE 2ND FACILITY # |
| 2355062 | Other | OH | RHC MEDICAID 2ND FAC # |
| 311674981005 | Other | OH | TRI-CARE |
| 2355053 | Other | OH | RHC MEDICAID FACILITY # |
| 000000344735 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN180620 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | NP07584 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Highland District Hospital | Hillsboro, OH | Hospital |
| Greenfield Area Medical Center | Greenfield, OH | Hospital |
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highland Health Providers Corp | 0244257848 | 11 |
| Entity Name | Highland Health Providers Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396702445 PECOS PAC ID: 0244257848 Enrollment ID: O20051101001066 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond W Mick, CNP Po Box 637736, Cincinnati, OH 45263-7736 Ph: (513) 891-1006 | Raymond W Mick, CNP 1092 Jefferson St, Greenfield, OH 45123-8319 Ph: (937) 981-1121 |
Mrs. Brandy M Jordan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 N Washington St, Greenfield, OH 45123 Phone: 937-981-9444 | |
Michele L. Dodds, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 536 Mirabeau St, Greenfield, OH 45123 Phone: 937-981-9444 Fax: 937-981-9448 | |
Leslie Marie Stegall, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 South St, Greenfield, OH 45123 Phone: 740-403-9108 Fax: 937-462-1385 | |
Debra L Wolf, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 536 Mirabeau St, Greenfield, OH 45123 Phone: 937-981-9444 Fax: 937-981-9448 | |
Ms. Hope Renee Tolle, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 N Washington St, Greenfield, OH 45123 Phone: 937-981-9444 Fax: 937-981-9448 |