Adrienne W Lee, MD | |
1074 Patterson Rd, Kettering, OH 45420-1522 | |
(937) 258-6330 | |
(937) 396-2242 |
Full Name | Adrienne W Lee |
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Gender | Female |
Speciality | Pediatrics |
Location | 1074 Patterson Rd, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639340136 | NPI | - | NPPES |
0075803 | Medicaid | OH | |
1025033510001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD440300 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 35.120351 (Ohio) | Primary |
Entity Name | Community Health Centers Of Greater Dayton |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013197003 PECOS PAC ID: 7012094386 Enrollment ID: O20080410000531 |
Mailing Address | Practice Location Address |
---|---|
Adrienne W Lee, MD 1074 Patterson Rd, Kettering, OH 45420-1522 Ph: (937) 258-6330 | Adrienne W Lee, MD 1074 Patterson Rd, Kettering, OH 45420-1522 Ph: (937) 258-6330 |
Ragheed Katkhuda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
Dr. Loren Ann Nallu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
Jennifer Marie Conlon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5450 Far Hills Ave Ste 110, Kettering, OH 45429 Phone: 937-436-2866 Fax: 937-436-1468 | |
Phyllis R Elinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
Wendy L Blumberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
James A. Bryant, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
Dr. Angela Lynne Isbel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-395-8814 |