| Sara Lee Hess, NP-C | |
|
4463 State Route 66, Minster, OH 45865-8727 | |
| (419) 628-3821 | |
| (419) 628-9501 |
| Full Name | Sara Lee Hess |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 4463 State Route 66, Minster, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467981118 | NPI | - | NPPES |
| 9934723 | Other | OH | MEDICARE GROUP PTAN |
| 0105065 | Other | OH | JTDM FAMILY PRACTICE LLC - GROUP MEDICAID |
| 0229424 | Medicaid | OH | |
| 34-1689161 | Other | OH | JTDM FAMILY PRACTICE LLC - TAX ID |
| H602800 | Other | OH | MEDICARE PATN |
| 1184652539 | Other | OH | JTDM FAMILY PRACTICE, LLC GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.020961 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Lake Health System | Saint marys, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jtdm Family Practice Llc | 2163415837 | 43 |
| Entity Name | Jtdm Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Lee Hess, NP-C 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 394-3387 | Sara Lee Hess, NP-C 4463 State Route 66, Minster, OH 45865-8727 Ph: (419) 628-3821 |
Dena M Pelletier, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11531 State Route 66, Minster, OH 45865 Phone: 937-295-2949 Fax: 419-628-0342 | |
Ms. Erica Nichole Cook, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Eagle Dr Ste A, Minster, OH 45865 Phone: 419-628-6156 Fax: 937-853-8032 |