| Dr Selyne Samuel, MD | |
|
2300 Miami Valley Dr Ste 350, Centerville, OH 45459-1294 | |
| (937) 424-2469 | |
| (937) 424-2479 |
| Full Name | Dr Selyne Samuel |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 2300 Miami Valley Dr Ste 350, Centerville, 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 |
|---|---|---|---|
| 1447538590 | NPI | - | NPPES |
| 2551671 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # |
| 0167456 | Medicaid | OH | |
| 1841239274 | Other | OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # |
| 9338635 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35-128714 (Ohio) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | 35.128714 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Atrium Medical Center | Franklin, 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 |
|---|---|
| Dr Selyne Samuel, MD 3170 Kettering Blvd, Building B 3rd Floor, Momraine, OH 45439-1924 Ph: (937) 991-3188 | Dr Selyne Samuel, MD 2300 Miami Valley Dr Ste 350, Centerville, OH 45459-1294 Ph: (937) 424-2469 |
Adam Anthony Golas, M.D., M.P.H. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd Ste F, Centerville, OH 45459 Phone: 937-208-5300 Fax: 937-208-2812 | |
James R Ouellette, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459 Phone: 937-424-2469 Fax: 937-424-2479 | |
Dr. Matthew P Doepker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2300 Miami Valley Dr Ste 350, Centerville, OH 45459 Phone: 937-424-2469 Fax: 937-424-2479 | |
Dr. Andrew L Archer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7700 Washington Village Dr Ste 130, Centerville, OH 45459 Phone: 937-531-0195 Fax: 937-531-0196 | |
Dr. Bhavani Pokala, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd Ste F, Centerville, OH 45459 Phone: 937-208-5300 Fax: 937-208-5650 | |
Dr. Jason Thomas Hedrick, M.D, Surgery Medicare: Accepting Medicare Assignments Practice Location: 9985 Dayton Lebanon Pike, Centerville, OH 45458 Phone: 937-305-5012 Fax: 937-886-9194 |