| Stephanie Ann Keener, PA-C | |
|
36 N Detroit St Ste 105, Xenia, OH 45385-2963 | |
| (937) 610-4673 | |
| Not Available |
| Full Name | Stephanie Ann Keener |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 36 N Detroit St Ste 105, Xenia, 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 |
|---|---|---|---|
| 1023618428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 50.006497RX (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decoach Team Llc | 7517244551 | 16 |
| Entity Name | Decoach Team LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366992224 PECOS PAC ID: 7517244551 Enrollment ID: O20170501001472 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Ann Keener, PA-C 100 Crowne Point Pl, Cincinnati, OH 45241-5427 Ph: (513) 743-7628 | Stephanie Ann Keener, PA-C 36 N Detroit St Ste 105, Xenia, OH 45385-2963 Ph: (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 |
Patrice Christie, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 244 Wilson Dr, Xenia, OH 45385 Phone: 937-372-1602 Fax: 937-372-0154 |