| Dr Kristen Theobald Braig, MD | |
|
2211 Timber Trl, Maple Leaf Family And Sports Medicine, Bellefontaine, OH 43311-9036 | |
| (937) 592-3808 | |
| (937) 593-8404 |
| Full Name | Dr Kristen Theobald Braig |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 2211 Timber Trl, Bellefontaine, 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 |
|---|---|---|---|
| 1265422950 | NPI | - | NPPES |
| 2443056 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-08-1723 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Rutan Hospital | Bellefontaine, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maple Leaf Family And Sports Medicine, Llc | 7416844592 | 4 |
| Entity Name | Maple Leaf Family And Sports Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447328067 PECOS PAC ID: 7416844592 Enrollment ID: O20040303000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristen Theobald Braig, MD 9055 Oconnors Point Dr, Belle Center, OH 43310-9300 Ph: (937) 843-4195 | Dr Kristen Theobald Braig, MD 2211 Timber Trl, Maple Leaf Family And Sports Medicine, Bellefontaine, OH 43311-9036 Ph: (937) 592-3808 |
Dr. Deron L Horman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1134 N Main St Ste 1100, Bellefontaine, OH 43311 Phone: 937-651-6820 Fax: 937-651-6822 | |
Mabbu Gajapathy Shivaprasad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Logan Family Medical Center Llc, 2210 Timber Trail, Bellefontaine, OH 43311 Phone: 937-593-3151 Fax: 937-593-5438 | |
Michael Richey Gleason, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 E Columbus Ave Ste 3, Bellefontaine, OH 43311 Phone: 937-592-8025 | |
Thomas E. Darrah, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 N Detroit St, Bellefontaine, OH 43311 Phone: 937-599-3085 | |
Mrs. Mona Kaye Garrison, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1860 S Main St, Bellefontaine, OH 43311 Phone: 937-592-0731 | |
Steven Paul Hooley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 705 N Madriver St, Bellefontaine, OH 43311 Phone: 937-592-2248 Fax: 937-592-5001 |