| Aida E Scanlon, PA | |
|
3445 S Dixie Dr, Moraine, OH 45439 | |
| (937) 534-0155 | |
| (937) 534-0166 |
| Full Name | Aida E Scanlon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 3445 S Dixie Dr, Moraine, 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 |
|---|---|---|---|
| 1427409309 | NPI | - | NPPES |
| PENDING | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 50000999RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50000999RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Health Miamisburg | Miamisburg, OH | Hospital |
| Kettering Health Main Campus | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 699 |
| Entity Name | Alliance Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
| Entity Name | Metro Golden Medical, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649329368 PECOS PAC ID: 7911917737 Enrollment ID: O20060424000681 |
| 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 |
|---|---|
| Aida E Scanlon, PA 3445 S Dixie Dr, Suite 100, Moraine, OH 45439-2330 Ph: (937) 534-0155 | Aida E Scanlon, PA 3445 S Dixie Dr, Moraine, OH 45439 Ph: (937) 534-0155 |
Jennifer Allender, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Kettering Blvd, Moraine, OH 45439 Phone: 937-395-6665 Fax: 937-395-6668 |
Trevor Day, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 |
David Malesko, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5348 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4650 |
Scott David Kearney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 |
Yvonne Victoria Kuhn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1353 |
Emillie Partridge Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2621 Dryden Rd Ste 100, Moraine, OH 45439 Phone: 937-281-0900 |
Sarah M Deuser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 |