Jonathan Woody, is a medicare enrolled "Physician Assistant" physician in Kettering, Ohio. His current practice location is
3700 Southern Blvd Ste 300, Kettering, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 643-9299.
Jonathan Woody is licensed to practice in Ohio (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629600028.
Physician's Profile
| Full Name | Jonathan Woody |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3700 Southern Blvd Ste 300, Kettering, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629600028
- Provider Enumeration Date: 02/04/2020
- Last Update Date: 04/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 9537597877
- Enrollment ID: I20200319000987
Medical Identifiers
Medical identifiers for Jonathan Woody such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629600028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 50.006352RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.006352RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Woody is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jonathan Woody,
1 Prestige Pl, Ste 550,
Miamisburg, OH 45342-6115
Ph: (937) 762-1310 | Jonathan Woody,
3700 Southern Blvd Ste 300,
Kettering, OH 45429-1265
Ph: (937) 643-9299 |
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