| Ms Kendall A Rodriguez, PA | |
|
244 Wilson Dr, Xenia, OH 45385 | |
| (937) 372-1602 | |
| (937) 372-0154 |
| Full Name | Ms Kendall A Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 244 Wilson Dr, Xenia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700211687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.003871RX (Ohio) | Primary |
| 363AS0400X | Physician Assistant - Surgical | (Ohio) | Secondary |
| Entity Name | Alliance Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
| Entity Name | Sheltering Arms Hospital Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710913462 PECOS PAC ID: 9638089410 Enrollment ID: O20031210000678 |
| Entity Name | Ohio Emergency Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
| Entity Name | Premier Health Urgent Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134633761 PECOS PAC ID: 3870848088 Enrollment ID: O20180612000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kendall A Rodriguez, PA 1028 Miamisburg Centerville Rd, Washington Township, OH 45459-6700 Ph: (937) 425-4020 | Ms Kendall A Rodriguez, PA 244 Wilson Dr, Xenia, OH 45385 Ph: (937) 372-1602 |
Stephanie Ann Keener, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36 N Detroit St Ste 105, Xenia, OH 45385 Phone: 937-610-4673 |
Miss Jill Alison Conkle, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1141 N Monroe Dr, Xenia, OH 45385 Phone: 937-372-3638 Fax: 937-372-3642 |
Mr. Forrest T Fornash, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 215 S Allison Ave, Xenia, OH 45385 Phone: 937-903-1868 |
Jaylin Walker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2066 W Main St Ste 130, Xenia, OH 45385 Phone: 937-372-7583 |
Morgan A Reagans, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 426 N Detroit St, Xenia, OH 45385 Phone: 937-376-4396 Fax: 937-376-4397 |
Emily Malsch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2066 W Main St Ste 130, Xenia, OH 45385 Phone: 937-372-7583 |
Mr. James P Matteson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1141 N Monroe Dr, Xenia, OH 45385 Phone: 937-372-8011 |