| Shelli Ann Powell, MD | |
|
2587 Commons Blvd, Suite 110, Beavercreek, OH 45431-3841 | |
| (937) 424-5825 | |
| (937) 424-5829 |
| Full Name | Shelli Ann Powell |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 2587 Commons Blvd, Beavercreek, 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 |
|---|---|---|---|
| 1114941176 | NPI | - | NPPES |
| 0459641 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 35068709P (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Medical Center | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelli Ann Powell, MD 2587 Commons Blvd, Suite 110, Beavercreek, OH 45431-3841 Ph: (937) 424-5825 | Shelli Ann Powell, MD 2587 Commons Blvd, Suite 110, Beavercreek, OH 45431-3841 Ph: (937) 424-5825 |
Dr. Daniel B Luckenbill, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd, Ste 320, Beavercreek, OH 45431 Phone: 937-433-5309 Fax: 937-298-0287 | |
Timothy Francis Peters, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2587 Commons Blvd, Suite 110, Beavercreek, OH 45431 Phone: 937-424-5825 Fax: 937-424-5829 | |
Dr. Paul Gregory Peters, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2587 Commons Blvd, Suite 110, Beavercreek, OH 45431 Phone: 937-836-3118 Fax: 937-832-5588 | |
Fredrick Mark Reeve, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2587 Commons Blvd, Suite 110, Beavercreek, OH 45431 Phone: 937-424-5825 Fax: 937-424-5826 |