| Kelly A Bennington, PA | |
|
2701 Moorefield Rd, Springfield, OH 45502-8207 | |
| (937) 399-6650 | |
| (937) 399-8558 |
| Full Name | Kelly A Bennington |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 2701 Moorefield Rd, Springfield, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679056188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleanslate Medical Group Of Ohio Llc | 9537418025 | 10 |
| Entity Name | Dayton Pain Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790730638 PECOS PAC ID: 8123922887 Enrollment ID: O20031124000530 |
| Entity Name | Cleanslate Medical Group of Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558800193 PECOS PAC ID: 9537418025 Enrollment ID: O20190108003833 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly A Bennington, PA 2701 Moorefield Rd, Springfield, OH 45502-8207 Ph: (937) 399-6650 | Kelly A Bennington, PA 2701 Moorefield Rd, Springfield, OH 45502-8207 Ph: (937) 399-6650 |
Jeremy Washington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-1461 Fax: 937-523-1590 |
Gregory Elton Mann, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 N Limestone St, Springfield, OH 45503 Phone: 937-523-9850 |
Travis B Wilson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 W Main St, Suite 100, Springfield, OH 45502 Phone: 937-398-1066 Fax: 937-398-1076 |
Leanne Margaret Casserlie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 W Mccreight Ave Ste 106, Springfield, OH 45504 Phone: 937-523-9885 Fax: 937-523-9886 |
Ragen Elizabeth Engel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3250 Middle Urbana Rd, Springfield, OH 45502 Phone: 937-399-7777 |
Chloe Wise, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1108 Vester Ave, Springfield, OH 45503 Phone: 937-399-7100 Fax: 937-399-7355 |
Aaron Joseph Jolliff, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Emergency Department, Springfield, OH 45504 Phone: 937-523-1461 |