| Richard Foreman, | |
|
400 Sugar Camp Cir Ste 200, Oakwood, OH 45409-1981 | |
| (937) 276-8320 | |
| (937) 276-8325 |
| Full Name | Richard Foreman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 400 Sugar Camp Cir Ste 200, Oakwood, 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 |
|---|---|---|---|
| 1033586680 | NPI | - | NPPES |
| 0143569 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | COA18027NP (Ohio) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.18027 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Upper Valley Medical Center | Troy, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Specialists Inc | 5597708594 | 471 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Foreman, 3170 Kettering Blvd Bldg B2nd, Moraine, OH 45439-1924 Ph: (937) 991-3188 | Richard Foreman, 400 Sugar Camp Cir Ste 200, Oakwood, OH 45409-1981 Ph: (937) 276-8320 |
Taylor Hausfeld, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Walnut Springs Dr, Oakwood, OH 45419 Phone: 937-479-6990 | |
Tara Sue Vangundy, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 Oakwood Ave, Oakwood, OH 45419 Phone: 937-885-7163 Fax: 937-567-0670 | |
Mrs. Brenna Marie Gingrich, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 414 Oakwood Ave, Oakwood, OH 45409 Phone: 937-204-4802 | |
Isabelle Mccurry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 Oakwood Ave, Oakwood, OH 45419 Phone: 937-885-7163 Fax: 937-567-0670 | |
Angela Lynn Robinson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Sugar Camp Cir Ste 101, Oakwood, OH 45409 Phone: 937-245-7777 | |
Amanda Denee Zurface Jones, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Sugar Camp Cir Ste 101, Oakwood, OH 45409 Phone: 937-567-6700 |