John Russell Klens, is a medicare enrolled "Physician Assistant" physician in Dayton, Ohio. His current practice location is
1 Wyoming St, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 208-3356.
John Russell Klens is licensed to practice in Ohio (license number 50.007162RX) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528737376.
Physician's Profile
| Full Name | John Russell Klens |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1 Wyoming St, Dayton, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528737376
- Provider Enumeration Date: 09/07/2021
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375931074
- Enrollment ID: I20211029001438
Medical Identifiers
Medical identifiers for John Russell Klens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528737376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 50.007162RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.007162RX (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Russell Klens is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Russell Klens,
1 Wyoming St,
Dayton, OH 45409-2722
Ph: (937) 208-3356 | John Russell Klens,
1 Wyoming St,
Dayton, OH 45409-2722
Ph: (937) 208-3356 |
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