| Geetha C Ambalavanan, MD | |
|
2180 Gateway Dr, Fairborn, OH 45324-6356 | |
| (937) 208-8155 | |
| (937) 208-8140 |
| Full Name | Geetha C Ambalavanan |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 2180 Gateway Dr, Fairborn, 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 |
|---|---|---|---|
| 1780899633 | NPI | - | NPPES |
| 2781673 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-089208 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fidelity Health Care | Moraine, OH | Home health agency |
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mvhe Inc | 9537066584 | 154 |
| Entity Name | Mvhe Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Geetha C Ambalavanan, MD 2180 Gateway Dr, Fairborn, OH 45324-6356 Ph: (937) 208-8155 | Geetha C Ambalavanan, MD 2180 Gateway Dr, Fairborn, OH 45324-6356 Ph: (937) 208-8155 |
Stefanie Kristine Lewis, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1045 Channingway Dr, Fairborn, OH 45324 Phone: 937-878-8645 Fax: 937-878-8646 | |
Charles J. Zeller Iii, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1045 Channingway Dr., Fairborn, OH 45324 Phone: 937-878-8644 Fax: 937-878-8646 | |
Jessica D Gallagher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-281-4673 | |
Dr. Kevin P Macy, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 7790 Dayton Springfield Rd Ste B, Fairborn, OH 45324 Phone: 937-340-6440 Fax: 937-340-6441 | |
Joel D Macy, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 7790 Dayton Springfield Rd Ste B, Fairborn, OH 45324 Phone: 937-340-6440 Fax: 937-340-6441 | |
Anessa D Alappatt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2180 Gateway Dr, Fairborn, OH 45324 Phone: 937-208-8155 Fax: 937-208-8140 | |
Dr. Dan F Bautista, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1840 Commerce Center Blvd, Fairborn, OH 45324 Phone: 937-754-4580 Fax: 937-754-4575 |