| Regina Embrador, PA-C | |
|
1843 W Main St, Troy, OH 45373-2303 | |
| (937) 208-4020 | |
| (937) 208-4126 |
| Full Name | Regina Embrador |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1843 W Main St, Troy, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598285751 | NPI | - | NPPES |
| C0006446 | Other | MD | MARYLAND BOARD OF PHYSICIANS |
| 1141856 | Other | NCCPA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0006446 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | 50.006046RX (Ohio) | Primary |
| 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 |
|---|---|
| Regina Embrador, PA-C 3170 Kettering Blvd Bldg B3, Moraine, OH 45439-1924 Ph: (937) 991-3188 | Regina Embrador, PA-C 1843 W Main St, Troy, OH 45373-2303 Ph: (937) 208-4020 |
Payton Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 W Main St Ste 330, Troy, OH 45373 Phone: 937-531-0195 |
Emily Bengston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3006 N County Road 25a Ste 104, Troy, OH 45373 Phone: 937-335-3518 Fax: 937-332-6857 |
Glenda M Updyke, MS PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W Main St, Troy, OH 45373 Phone: 937-395-6665 Fax: 937-395-6668 |
Melinda Sue Duff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3130 N County Road 25a, Suite 214, Troy, OH 45373 Phone: 937-332-8777 Fax: 937-332-8773 |
Danielle Morgan Wheeler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3130 N County Road 25a, Troy, OH 45373 Phone: 937-440-4000 |
Kelly C Prikkel, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3130 N Dixie Hwy, Troy, OH 45373 Phone: 937-440-4600 Fax: 937-339-4056 |
James C Zedaker, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3130 N Dixie Hwy, Troy, OH 45373 Phone: 937-440-4600 Fax: 937-339-4059 |