| Amelia Kaidi Whitlatch, NP-C | |
|
6611 Clyo Rd, Ste E, Centerville, OH 45459-2785 | |
| (937) 208-8282 | |
| (937) 208-8275 |
| Full Name | Amelia Kaidi Whitlatch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 6611 Clyo Rd, Centerville, 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 |
|---|---|---|---|
| 1912280827 | NPI | - | NPPES |
| 0059561 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA.12753-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Specialists Inc | 5597708594 | 471 |
| Hospital Medicine Services Of Ohio, Inc. | 6103997747 | 21 |
| Wright State Physicians Inc | 7618889320 | 58 |
| Entity Name | Wright State Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114920329 PECOS PAC ID: 7618889320 Enrollment ID: O20031103000097 |
| Entity Name | Wilson Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205886926 PECOS PAC ID: 4385549666 Enrollment ID: O20031201000170 |
| Entity Name | Valley Medical Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528127610 PECOS PAC ID: 0840284345 Enrollment ID: O20040408000888 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Entity Name | Hospital Medicine Services Of Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073781597 PECOS PAC ID: 6103997747 Enrollment ID: O20080625000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Amelia Kaidi Whitlatch, NP-C 6611 Clyo Rd, Ste E, Centerville, OH 45459-2785 Ph: (937) 208-8282 | Amelia Kaidi Whitlatch, NP-C 6611 Clyo Rd, Ste E, Centerville, OH 45459-2785 Ph: (937) 208-8282 |
Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070 | |
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622 | |
Heather Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400 | |
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282 | |
Terri M Caputo-jones, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 N Main St, Centerville, OH 45459 Phone: 937-435-1445 Fax: 937-439-7552 | |
Alysha Weeter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Amber Dr, Centerville, OH 45458 Phone: 937-510-4075 | |
Marie Middleton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7740 Washington Village Dr, Ste 120, Centerville, OH 45459 Phone: 937-439-7411 Fax: 937-433-8030 |