| Theresa Blachly-flanagan, | |
|
700 E 1st St, Dayton, OH 45402-1303 | |
| (937) 641-4040 | |
| (937) 641-3066 |
| Full Name | Theresa Blachly-flanagan |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 700 E 1st St, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285716480 | NPI | - | NPPES |
| 2195253 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35-077903 (Ohio) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 35.077903 (Ohio) | Primary |
| Entity Name | Tcn Behavioral Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055 |
| Entity Name | Dayton Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730392309 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Blachly-flanagan, Po Box 933421, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Theresa Blachly-flanagan, 700 E 1st St, Dayton, OH 45402-1303 Ph: (937) 641-4040 |
Dr. Katherine Mchugh Winner, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4040 Fax: 937-641-3066 | |
Dr. Mary S Feldman, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St Ste 5254a, Dayton, OH 45409 Phone: 937-208-4200 Fax: 937-208-4205 | |
Jerome John Schulte Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2200 Philadelphia Dr, Suite 4505, Dayton, OH 45406 Phone: 937-734-2446 Fax: 937-734-4219 | |
Jerald Kay, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 Phone: 937-223-8840 Fax: 937-223-0758 | |
Dr. Amarjeet S Birdi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 627 S Edwin C Moses Blvd, Suite G, Dayton, OH 45417 Phone: 937-424-1000 Fax: 937-424-1002 | |
Susan Kay Songer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Dayton, OH 45439 Phone: 937-293-8300 | |
Dr. Pavan Somusetty, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 |