| Madison Selby, | |
|
7700 Washington Village Dr Ste 130, Centerville, OH 45459-4094 | |
| (937) 531-0195 | |
| (937) 531-0196 |
| Full Name | Madison Selby |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 7700 Washington Village Dr Ste 130, Centerville, 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 |
|---|---|---|---|
| 1821971904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.0041925 (Ohio) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Selby, 7700 Washington Village Dr Ste 130, Centerville, OH 45459-4094 Ph: (937) 531-0195 | Madison Selby, 7700 Washington Village Dr Ste 130, Centerville, OH 45459-4094 Ph: (937) 531-0195 |
Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070 |
Jennifer M Wagner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-208-8394 Fax: 937-641-2780 |
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622 |
Heather Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400 |
Kevin Carl Baker, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr Ste 500, Centerville, OH 45459 Phone: 937-425-0003 |
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282 |
Richard Foreman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr Ste 210, Centerville, OH 45459 Phone: 937-276-8320 Fax: 937-276-8325 |