Ms Jonista M Peebles, is a
Family Medicine physician based in Trotwood, Ohio. Ms Jonista M Peebles is licensed to practice in Ohio (license number 23550895) and her current practice location is 4898 Livingstone Ave, Trotwood, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 469-7520.
NPI number for Ms Jonista M Peebles is 1558646760 and her current mailing address is 4898 Linvingstone Ave, Dayton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558646760.
Physician's Profile
| Full Name | Ms Jonista M Peebles |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
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| Location | 4898 Livingstone Ave, Trotwood, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558646760
- Provider Enumeration Date: 10/19/2011
- Last Update Date: 10/19/2011
Medical Identifiers
Medical identifiers for Ms Jonista M Peebles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558646760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 23550895 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | 23550895 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 23550895 (Ohio) | Primary |
| 207R00000X | Internal Medicine | 23550895 (Ohio) | Secondary |
| 208D00000X | General Practice | 23550895 (Ohio) | Secondary |
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. Ms Jonista M Peebles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jonista M Peebles,
4898 Linvingstone Ave,
Dayton, OH 45426-0026
Ph: (937) 469-7520 | Ms Jonista M Peebles,
4898 Livingstone Ave,
Trotwood, OH 45426-1490
Ph: (937) 469-7520 |
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