| Harry T Kittaka, MD | |
|
12340 State Route 104, Waverly, OH 45690-8968 | |
| (740) 941-5180 | |
| Not Available |
| Full Name | Harry T Kittaka |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 12340 State Route 104, Waverly, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437176286 | NPI | - | NPPES |
| 2133828 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.076602 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| 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 |
| Entity Name | Adena Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Harry T Kittaka, MD 12340 State Route 104, Waverly, OH 45690-8968 Ph: (740) 941-5180 | Harry T Kittaka, MD 12340 State Route 104, Waverly, OH 45690-8968 Ph: (740) 941-5180 |
Dr. Terry A Johnson, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 715 W Emmitt Ave, Waverly, OH 45690 Phone: 740-947-8777 Fax: 740-947-7728 | |
Elizabeth A Bentley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 W Emmitt Ave, Waverly, OH 45690 Phone: 740-947-7662 Fax: 740-947-0099 | |
Dr. Scott E Howard, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12340 State Route 104, Waverly, OH 45690 Phone: 740-779-5180 Fax: 740-779-5178 | |
Dr. David R Kessler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 E 5th St, Waverly, OH 45690 Phone: 740-947-8670 |