| Kathleen Kelly, PA-C | |
|
9000 N Main St Ste 232, Englewood, OH 45415 | |
| (937) 277-8988 | |
| (937) 277-9035 |
| Full Name | Kathleen Kelly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 9000 N Main St Ste 232, Englewood, 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 |
|---|---|---|---|
| 1508315391 | NPI | - | NPPES |
| 0186637 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.004784RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Atrium Medical Center | Franklin, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 586 |
| Premier Health Specialists Inc | 5597708594 | 394 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Kelly, PA-C 3170 Kettering Blvd Bldg B3, Moraine, OH 45439-1924 Ph: (937) 991-3188 | Kathleen Kelly, PA-C 9000 N Main St Ste 232, Englewood, OH 45415 Ph: (937) 277-8988 |
Brittany Mathias, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 232, Englewood, OH 45415 Phone: 937-277-8988 Fax: 937-274-4293 | |
Jessica G Luckenbill, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9000 N Main St, Suite 200, Englewood, OH 45415 Phone: 937-836-5555 Fax: 937-836-7518 | |
Michael Deyhle, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Suite G-35, Englewood, OH 45415 Phone: 937-836-1028 | |
Mr. William Ingram, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1130 S Main St, Englewood, OH 45322 Phone: 937-208-6879 Fax: 937-208-6886 | |
Elyse Weber, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Suite 232, Englewood, OH 45415 Phone: 937-277-8988 Fax: 937-277-9035 | |
Anna Allyson Grubmuller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9000 N Main St Ste 321, Englewood, OH 45415 Phone: 937-641-9324 |