| John E Wade, PSYD | |
|
1956 E Whipp Rd, Kettering, OH 45440-2921 | |
| (937) 433-5957 | |
| (937) 281-0562 |
| Full Name | John E Wade |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 25 Years |
| Location | 1956 E Whipp Rd, Kettering, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619021276 | NPI | - | NPPES |
| 311175717273 | Other | CARESOURCE | |
| 2544689 | Medicaid | OH | |
| 5936 | Other | OH | OHIO LICENSE |
| 000000617539 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5936 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| John E Wade, PSYD 1956 E Whipp Rd, Kettering, OH 45440-2921 Ph: (937) 384-3896 | John E Wade, PSYD 1956 E Whipp Rd, Kettering, OH 45440-2921 Ph: (937) 433-5957 |
Dr. Bethany Mallory, Psychologist Medicare: Medicare Enrolled Practice Location: 3085 Woodman Dr Ste 240, Kettering, OH 45420 Phone: 937-951-3077 Fax: 937-951-3109 | |
Nancy R. Milam, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1250 W Dorothy Ln Ste 208, Kettering, OH 45409 Phone: 937-298-9241 | |
Madeline Ann Gronotte, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 580 Lincoln Park Blvd Ste 105, Kettering, OH 45429 Phone: 937-499-1435 | |
Nicholas A Doninger, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd, Suite 5200, Kettering, OH 45429 Phone: 937-395-8043 Fax: 937-395-8139 | |
Carly Hube, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3000 Glengarry Dr, Kettering, OH 45420 Phone: 937-499-1550 Fax: 937-499-1508 | |
Dr. Aubrey Dawn Morrison-gill, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3085 Woodman Dr Ste 240, Kettering, OH 45420 Phone: 937-951-3077 | |
Thomas Packard, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5450 Far Hills Ave, Suite 110, Kettering, OH 45429 Phone: 937-436-5361 Fax: 937-436-1468 |