| 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 | 15 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 | 576 |
| 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 |
| 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 |
Jennifer M Wagner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-208-8394 Fax: 937-641-2780 |
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 |
Kevin Carl Baker, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr Ste 500, Centerville, OH 45459 Phone: 937-425-0003 |
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282 |
Richard Foreman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr Ste 210, Centerville, OH 45459 Phone: 937-276-8320 Fax: 937-276-8325 |