Dr Jason Carlisle Massengill, MD | |
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
(937) 257-1941 | |
(937) 257-3012 |
Full Name | Dr Jason Carlisle Massengill |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134263338 | NPI | - | NPPES |
0117005 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 01060945A (Indiana) | Secondary |
207V00000X | Obstetrics & Gynecology | 122570 (Ohio) | Primary |
Entity Name | Wright State Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114920329 PECOS PAC ID: 7618889320 Enrollment ID: O20031103000097 |
Entity Name | Alliance Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Jtdm Family Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
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 |
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Dr Jason Carlisle Massengill, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-1941 | Dr Jason Carlisle Massengill, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-1941 |
Dr. Michelle Lindsey Hobbs, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 | |
Michelle Lewis, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9564 | |
Felicity Neige Rausch Harl, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-1160 | |
Mckayla Brianne Johnson Riggs, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-656-3798 | |
Dr. Halei K Wong, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-1160 Fax: 405-271-8547 |