| Courtney N Laczko, PA-C | |
|
3535 Pentagon Blvd, Beavercreek, OH 45431-1705 | |
| (937) 702-4503 | |
| (937) 702-4129 |
| Full Name | Courtney N Laczko |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 3535 Pentagon 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 |
|---|---|---|---|
| 1790210532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA059099 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Penn Hospital | Pittsburgh, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allegheny Clinic | 5395649586 | 2313 |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Entity Name | Allegheny Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney N Laczko, PA-C 3588 Sequoia Dr, Beavercreek, OH 45431-3779 Ph: (518) 956-0372 | Courtney N Laczko, PA-C 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 Ph: (937) 702-4503 |
Amanda Yun Anania, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 330, Beavercreek, OH 45431 Phone: 937-757-9449 Fax: 937-702-4944 |
Emily Grace Trompak (o'neal), PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd, Beavercreek, OH 45431 Phone: 937-702-4450 Fax: 937-702-4459 |
Sarah Gould, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd Ste 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-429-0608 |
Caitlin Riley Flynn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3572 Dayton Xenia Rd Ste 105, Beavercreek, OH 45432 Phone: 937-427-4600 |
Breanne Henderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 42 Woodcroft Trl, Beavercreek, OH 45430 Phone: 937-429-0682 |
Kelly Bultman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2510 Commons Blvd Ste 210, Beavercreek, OH 45431 Phone: 513-833-4912 |
Michelle A Ortman, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Sylvania Dr, Beavercreek, OH 45440 Phone: 937-320-5050 Fax: 937-320-5060 |