Phyllis R Elinson, MD | |
1775 Delco Park Drive, Kettering, OH 45420 | |
(937) 299-2587 | |
(937) 299-0124 |
Full Name | Phyllis R Elinson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1775 Delco Park Drive, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033203542 | NPI | - | NPPES |
2369468 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.080390 (Ohio) | Primary |
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Entity Name | Fairview Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407953706 PECOS PAC ID: 4688571730 Enrollment ID: O20031216000909 |
Mailing Address | Practice Location Address |
---|---|
Phyllis R Elinson, MD 1775 Delco Park Drive, Kettering, OH 45420 Ph: (937) 299-2587 | Phyllis R Elinson, MD 1775 Delco Park Drive, Kettering, OH 45420 Ph: (937) 299-2587 |
Ragheed Katkhuda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
Dr. Loren Ann Nallu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-522-7620 | |
Jennifer Marie Conlon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5450 Far Hills Ave Ste 110, Kettering, OH 45429 Phone: 937-436-2866 Fax: 937-436-1468 | |
Wendy L Blumberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
James A. Bryant, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1775 Delco Park Drive, Kettering, OH 45420 Phone: 937-299-2587 Fax: 937-299-0124 | |
Dr. Angela Lynne Isbel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-752-2304 Fax: 937-395-8814 |