Elijah Kelley, DO | |
8701 Old Troy Pike Ste 240, Huber Heights, OH 45424-1053 | |
(937) 396-2880 | |
(937) 396-2205 |
Full Name | Elijah Kelley |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 8701 Old Troy Pike Ste 240, Huber Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790365286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34.016091 (Ohio) | Primary |
Entity Name | Mercer County Joint Township Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632 |
Mailing Address | Practice Location Address |
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Elijah Kelley, DO 8701 Old Troy Pike Ste 240, Huber Heights, OH 45424-1053 Ph: (937) 396-2880 | Elijah Kelley, DO 8701 Old Troy Pike Ste 240, Huber Heights, OH 45424-1053 Ph: (937) 396-2880 |
Daniel L Lui, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8701 Old Troy Pike, Huber Heights, OH 45424 Phone: 937-558-3300 Fax: 937-558-3313 | |
Dr. Joni M Koren, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 8701 Troy Pike, Suite 10, Huber Heights, OH 45424 Phone: 937-237-5294 Fax: 937-237-4748 | |
Dr. Stephanie M Fronista-ward, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6096 Brandt Pike, Huber Heights, OH 45424 Phone: 937-233-0132 Fax: 937-233-9127 | |
Brittany Elleen Crandell, MSN, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6251 Miami Valley Way Ste 210a, Huber Heights, OH 45424 Phone: 937-236-2155 | |
Shafik Ahmad, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6750 Brandt Pike, Suite 3, Huber Heights, OH 45424 Phone: 937-235-6331 Fax: 937-235-6337 | |
Dr. Jennifer Lynn Machuca, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7371 Brandt Pike Ste D, Huber Heights, OH 45424 Phone: 937-795-1101 Fax: 937-795-1120 | |
Robert B Harrington, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8638 Old Troy Pike, Suite 103, Huber Heights, OH 45424 Phone: 937-237-9575 Fax: 937-237-9562 |