| Dr Brian K Jolitz, DO | |
|
938 W Main St, Suite 2, Hillsboro, OH 45133-7484 | |
| (937) 393-4390 | |
| (937) 393-4640 |
| Full Name | Dr Brian K Jolitz |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 938 W Main St, Hillsboro, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972595890 | NPI | - | NPPES |
| 0623089 | Medicaid | OH | |
| P00665499 | Other | OH | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 34004061 (Ohio) | Primary |
| 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 |
|---|---|
| Dr Brian K Jolitz, DO 938 W Main St, Suite 2, Hillsboro, OH 45133-7484 Ph: (937) 393-4390 | Dr Brian K Jolitz, DO 938 W Main St, Suite 2, Hillsboro, OH 45133-7484 Ph: (937) 393-4390 |
Craig Wallace Forbes, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1487 N High St, Hillsboro, OH 45133 Phone: 937-393-3406 | |
Dr. Michael F Kenner, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 938 W Main St, Suite 2, Hillsboro, OH 45133 Phone: 937-393-4390 Fax: 937-393-4640 | |
Todd D Slater, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1487 N High St, Suite 102, Hillsboro, OH 45133 Phone: 937-393-3406 Fax: 937-393-0511 |