| The Comprehensive Group Of Companies, Llc | |
|
42 Woodcroft Trl Ste A Beavercreek OH 45430-1996 | |
| (937) 429-0682 | |
| (937) 429-0683 |
| Full Name | The Comprehensive Group Of Companies, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 42 Woodcroft Trl Ste A, Beavercreek, Ohio |
| Authorized Official Name and Position | Paula Vlach (BILLING SPECIALIST) |
| Authorized Official Contact | 8778969301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Comprehensive Group Of Companies, Llc 24050 Commerce Park Ste 100 Beachwood OH 44122-5831 Ph: (216) 896-9301 | The Comprehensive Group Of Companies, Llc 42 Woodcroft Trl Ste A Beavercreek OH 45430-1996 Ph: (937) 429-0682 |
| NPI Number | 1255869913 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 10/10/2018 |
| Medicare PECOS PAC ID | 7517220452 |
|---|---|
| Medicare Enrollment ID | O20180406001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255869913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Renita L Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790347706 PECOS PAC ID: 9032444674 Enrollment ID: I20190718001262 |
| Provider Name | Ashley Marie Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476456 PECOS PAC ID: 7315279643 Enrollment ID: I20191105003201 |
| Provider Name | Puja P Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073139796 PECOS PAC ID: 3971923228 Enrollment ID: I20201026002846 |
| Provider Name | Megan N Shortridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841889524 PECOS PAC ID: 2365858610 Enrollment ID: I20210310002502 |
| Provider Name | Kailey Klauenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568903367 PECOS PAC ID: 9234558479 Enrollment ID: I20210528002331 |
| Provider Name | Jennifer L Stallsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699419341 PECOS PAC ID: 9931588795 Enrollment ID: I20220624000801 |
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