| Richard Foreman, | |
|
2350 Miami Valley Dr Ste 210, Centerville, OH 45459-4778 | |
| (937) 276-8320 | |
| (937) 276-8325 |
| Full Name | Richard Foreman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2350 Miami Valley Dr Ste 210, Centerville, 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 |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.18027 (Ohio) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | COA18027NP (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fidelity Health Care | Moraine, OH | Home health agency |
| Miami Valley Hospital | Dayton, OH | Hospital |
| Reid Hospital & Health Care Services | Richmond, IN | Hospital |
| Upper Valley Medical Center | Troy, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Specialists Inc | 5597708594 | 572 |
| 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, 2350 Miami Valley Dr Ste 210, Centerville, OH 45459-4778 Ph: (937) 276-8320 |
Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070 | |
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622 | |
Heather Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400 | |
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282 | |
Terri M Caputo-jones, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 N Main St, Centerville, OH 45459 Phone: 937-435-1445 Fax: 937-439-7552 | |
Alysha Weeter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Amber Dr, Centerville, OH 45458 Phone: 937-510-4075 |