| Penny Sue Hogan, MD | |
|
1768 W Park Sq, Xenia, OH 45385-2667 | |
| (937) 372-3054 | |
| (937) 372-3084 |
| Full Name | Penny Sue Hogan |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 1768 W Park Sq, Xenia, 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 |
|---|---|---|---|
| 1114013463 | NPI | - | NPPES |
| 2150032 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35071125H (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Homecare | Kettering, OH | Home health agency |
| Springfield Regional Medical Center | Springfield, OH | Hospital |
| Mercy Health - West Hospital | Cincinnati, OH | Hospital |
| Ohio Valley Surgical Hospital | Springfield, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Springfield Primary Care Llc | 7315361359 | 32 |
| Entity Name | Mercy Health Physicians Springfield Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427679067 PECOS PAC ID: 7315361359 Enrollment ID: O20200722003840 |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Sue Hogan, MD 1768 W Park Sq, Xenia, OH 45385-2667 Ph: (937) 372-3054 | Penny Sue Hogan, MD 1768 W Park Sq, Xenia, OH 45385-2667 Ph: (937) 372-3054 |
Kimberley Ann Brumfield, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1460 Ludlow Rd, Xenia, OH 45385 Phone: 937-232-8033 | |
Dr. Robert Charles Baer, PHD. M.D. D.O, JDS Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Sheridan Ave, Xenia, OH 45385 Phone: 937-300-1271 | |
Thomas L Brunsman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 50 N Progress Dr, Xenia, OH 45385 Phone: 937-675-2870 Fax: 937-675-2873 | |
Laurie A Bankston, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Progress Dr, Xenia, OH 45385 Phone: 937-562-2280 Fax: 937-562-2282 | |
Frederick Davis Stockwell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 N. Progress Dr., Xenia, OH 45385 Phone: 937-374-4040 Fax: 937-374-4020 | |
Richard H Byers Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1157 N Monroe Dr Ste 220, Xenia, OH 45385 Phone: 937-374-3484 Fax: 937-374-7484 |