| Bellbrook Family Practice | |
|
6438 Wilmington Pike Ste 110 Dayton OH 45459-7021 | |
| (937) 848-4121 | |
| (937) 848-5965 |
| Full Name | Bellbrook Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 6438 Wilmington Pike Ste 110, Dayton, Ohio |
| Authorized Official Name and Position | Geoff Beck (BILLING) |
| Authorized Official Contact | 3364027322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellbrook Family Practice 6438 Wilmington Pike Ste 110 Dayton OH 45459-7021 Ph: (937) 848-4121 | Bellbrook Family Practice 6438 Wilmington Pike Ste 110 Dayton OH 45459-7021 Ph: (937) 848-4121 |
| NPI Number | 1154211027 |
|---|---|
| Provider Enumeration Date | 07/03/2025 |
| Last Update Date | 10/07/2025 |
| Certification Date | 10/07/2025 |
| Medicare PECOS PAC ID | 4587177365 |
|---|---|
| Medicare Enrollment ID | O20250703001586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154211027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Andrew P Black |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790011724 PECOS PAC ID: 9436298163 Enrollment ID: I20091209000243 |
| Provider Name | Kimbra L Joyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033525589 PECOS PAC ID: 0143543124 Enrollment ID: I20180727002561 |
| Provider Name | Katrina Raaf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023665619 PECOS PAC ID: 1355673658 Enrollment ID: I20191204001584 |
| Provider Name | Kiley Ferer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043927270 PECOS PAC ID: 3577933738 Enrollment ID: I20230104000782 |
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