| Devon T Ksiazk, PA | |
|
400 Altair Pkwy Ste 3200, Westerville, OH 43082-7653 | |
| (614) 392-5160 | |
| (614) 764-1707 |
| Full Name | Devon T Ksiazk |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 400 Altair Pkwy Ste 3200, Westerville, 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 |
|---|---|---|---|
| 1619244696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.003412 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Carmel East | Columbus, OH | Hospital |
| Mount Carmel St Ann's | Westerville, OH | Hospital |
| Ohio State University Hospitals | Columbus, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | 2769383785 | 487 |
| Entity Name | Central Ohio Primary Care Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194705194 PECOS PAC ID: 2769383785 Enrollment ID: O20040114000204 |
| Entity Name | Oh Independent Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497482111 PECOS PAC ID: 0648646034 Enrollment ID: O20221027000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Devon T Ksiazk, PA 7281 Sawmill Road, Suite 100, Dublin, OH 43016 Ph: (614) 764-0707 | Devon T Ksiazk, PA 400 Altair Pkwy Ste 3200, Westerville, OH 43082-7653 Ph: (614) 392-5160 |
Wade Walnoha, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Cleveland Ave, Westerville, OH 43081 Phone: 614-794-0481 Fax: 614-794-3711 |
Cameron Powell, P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S Cleveland Ave, Westerville, OH 43081 Phone: 614-794-0481 Fax: 614-794-3711 |
Cara Louise Rockwood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 460 Polaris Pkwy Ste 100, Westerville, OH 43082 Phone: 614-895-3344 Fax: 614-895-3795 |
Lisa Marie Shoulders, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6100 N Hamilton Rd, Westerville, OH 43081 Phone: 614-293-6255 Fax: 614-293-8518 |
Ms. Ivonne Viridiana Perez Cardona, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 S Cleveland Ave Ste C, Westerville, OH 43081 Phone: 614-898-9410 |
Nicole Valentine, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 655 Africa Rd, Westerville, OH 43082 Phone: 614-326-2672 |
Sharmi P Galani, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 568 S Cleveland Ave Ste B, Westerville, OH 43081 Phone: 614-895-3344 Fax: 614-895-3795 |