| Jewel A Stevens Md Llc | |
|
300 Business Pkwy Carlisle OH 45005 | |
| (937) 746-2813 | |
| (937) 746-2753 |
| Full Name | Jewel A Stevens Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Business Pkwy, Carlisle, Ohio |
| Authorized Official Name and Position | Jewel A Stevens (MD) |
| Authorized Official Contact | 9377462813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewel A Stevens Md Llc 300 Business Pkwy Carlisle OH 45005 Ph: (937) 746-2813 | Jewel A Stevens Md Llc 300 Business Pkwy Carlisle OH 45005 Ph: (937) 746-2813 |
| NPI Number | 1295913119 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 02/01/2008 |
| Medicare PECOS PAC ID | 4789768771 |
|---|---|
| Medicare Enrollment ID | O20080229000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295913119 | NPI | - | NPPES |
| 0365144 | Medicaid | OH | |
| 1316921067 | Other | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35042214S (Ohio) | Primary |
| Provider Name | Johan Worndle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295840833 PECOS PAC ID: 8729083696 Enrollment ID: I20060927000419 |
| Provider Name | Michael J Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720295603 PECOS PAC ID: 8325139165 Enrollment ID: I20070808000079 |
| Provider Name | Amanda L Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902999733 PECOS PAC ID: 4789756834 Enrollment ID: I20080707000144 |
Physician Management Services Of Southeast Ohio, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Business Pkwy, Carlisle, OH 45005 Phone: 888-829-8550 | |
Carlisle Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Business Pkwy, Carlisle, OH 45005 Phone: 937-746-2813 Fax: 937-746-2753 | |
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