Jon E Sulentic, DO | |
275 N Breiel Blvd, Middletown, OH 45042-3807 | |
(513) 424-7711 | |
(513) 424-3599 |
Full Name | Jon E Sulentic |
---|---|
Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 275 N Breiel Blvd, Middletown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013992783 | NPI | - | NPPES |
2430711 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 34008091 (Ohio) | Primary |
Entity Name | Premier Health Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
Mailing Address | Practice Location Address |
---|---|
Jon E Sulentic, DO 275 N Breiel Blvd, Middletown, OH 45042-3807 Ph: (513) 424-7711 | Jon E Sulentic, DO 275 N Breiel Blvd, Middletown, OH 45042-3807 Ph: (513) 424-7711 |
Leah M Avera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6147 State Route 122 Ste 200, Middletown, OH 45005 Phone: 513-261-3500 Fax: 513-261-3509 | |
Shazia Khan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 9th Ave, Middletown, OH 45044 Phone: 513-425-8305 Fax: 513-425-1810 | |
Dr. Elizabeth Wall Patterson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 N Breiel Blvd, Middletown, OH 45042 Phone: 513-424-2535 Fax: 513-424-0363 | |
Dr. Mark Eugene Frazer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Summit Drive, Middletown, OH 45042 Phone: 513-424-0122 Fax: 513-424-3863 | |
Lester Dornon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3290 Village Dr, Middletown, OH 45005 Phone: 513-622-7703 Fax: 513-424-7704 | |
Dr. Thomas Edward Furlong, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 74 N Breiel Blvd, Middletown, OH 45042 Phone: 513-424-7291 Fax: 513-424-2289 |