| Marian Gaida Pham, NP | |
|
3535 Pentagon Blvd, Beavercreek, OH 45431-1705 | |
| (937) 395-6665 | |
| (937) 395-6668 |
| Full Name | Marian Gaida Pham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 3535 Pentagon Blvd, Beavercreek, 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 |
|---|---|---|---|
| 1124615695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28191443A (Indiana) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 71010705A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Specialists Inc | 5597708594 | 572 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Gaida Pham, NP 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Marian Gaida Pham, NP 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 Ph: (937) 395-6665 |
Holli N Kroger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1425 N Fairfield Rd Ste 130, Beavercreek, OH 45432 Phone: 937-320-1950 Fax: 937-320-9332 | |
Carrie Steward, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431 Phone: 937-782-8103 | |
Brandy L Mullett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd # 1157, Beavercreek, OH 45431 Phone: 937-702-4450 Fax: 937-702-4459 | |
Jessica Lynn Ullery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623 | |
Mrs. Theresa Marie Borchers, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-4280 | |
Ellen K Ratay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Sylvania Dr, Beavercreek, OH 45440 Phone: 937-320-5050 Fax: 937-320-5060 | |
Laura Busteed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270 |