Dr Kristen Theobald Braig, MD | |
2211 Timber Trl, Maple Leaf Family And Sports Medicine, Bellefontaine, OH 43311-9036 | |
(937) 592-3808 | |
(937) 593-8404 |
Full Name | Dr Kristen Theobald Braig |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 24 Years |
Location | 2211 Timber Trl, Bellefontaine, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265422950 | NPI | - | NPPES |
2443056 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35-08-1723 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mary Rutan Hospital | Bellefontaine, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maple Leaf Family And Sports Medicine, Llc | 7416844592 | 4 |
Entity Name | Maple Leaf Family And Sports Medicine, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447328067 PECOS PAC ID: 7416844592 Enrollment ID: O20040303000227 |
Mailing Address | Practice Location Address |
---|---|
Dr Kristen Theobald Braig, MD 9055 Oconnors Point Dr, Belle Center, OH 43310-9300 Ph: (937) 843-4195 | Dr Kristen Theobald Braig, MD 2211 Timber Trl, Maple Leaf Family And Sports Medicine, Bellefontaine, OH 43311-9036 Ph: (937) 592-3808 |
Dr. Deron L Horman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1134 N Main St Ste 1100, Bellefontaine, OH 43311 Phone: 937-651-6820 Fax: 937-651-6822 | |
Mabbu Gajapathy Shivaprasad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Logan Family Medical Center Llc, 2210 Timber Trail, Bellefontaine, OH 43311 Phone: 937-593-3151 Fax: 937-593-5438 | |
Michael Richey Gleason, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 E Columbus Ave Ste 3, Bellefontaine, OH 43311 Phone: 937-592-8025 | |
Thomas E. Darrah, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 N Detroit St, Bellefontaine, OH 43311 Phone: 937-599-3085 | |
Dr. John C O'connor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Timber Trl, Bellefontaine, OH 43311 Phone: 937-592-3808 Fax: 937-593-8404 | |
Mrs. Mona Kaye Garrison, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1860 S Main St, Bellefontaine, OH 43311 Phone: 937-592-0731 |