| Gabrielle Lynn Decaestecker, PA | |
|
1425 Columbus Ave, Lebanon, OH 45036-8258 | |
| (513) 282-3010 | |
| Not Available |
| Full Name | Gabrielle Lynn Decaestecker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1425 Columbus Ave, Lebanon, 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 |
|---|---|---|---|
| 1114807112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.009699RX (Ohio) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 50.009699RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Soin Medical Center | Beaver creek, OH | Hospital |
| Kettering Health Main Campus | Kettering, OH | Hospital |
| Kettering Health Miamisburg | Miamisburg, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Dayton Acute Care Consultants, Inc | 3577452465 | 116 |
| Entity Name | South Dayton Acute Care Consultants, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669442950 PECOS PAC ID: 3577452465 Enrollment ID: O20040310001218 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle Lynn Decaestecker, PA 1425 Columbus Ave, Lebanon, OH 45036-8258 Ph: (513) 282-3010 | Gabrielle Lynn Decaestecker, PA 1425 Columbus Ave, Lebanon, OH 45036-8258 Ph: (513) 282-3010 |
Katelyn Mokros, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1470 N Broadway St Ste 100, Lebanon, OH 45036 Phone: 513-932-1936 Fax: 513-932-3105 |
Sara Fieger, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1470 N Broadway St Ste 100, Lebanon, OH 45036 Phone: 513-932-1936 Fax: 513-932-3105 |
Paul Alexander Francis, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1493 Old 122 Rd, Lebanon, OH 45036 Phone: 513-673-5125 |
Morgan Rowe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1470 N Broadway St Ste 100, Lebanon, OH 45036 Phone: 513-932-1936 |
Justin Taylor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1470 N Broadway St, Suite 100, Lebanon, OH 45036 Phone: 513-932-1936 Fax: 513-932-3105 |