Wellness Card Llc - Medicare Mental Health Clinic in Dayton, OH

Wellness Card Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Dayton, Ohio. The current practice location for Wellness Card Llc is 1320 Woodman Dr, Dayton, Ohio. For appointments, you can reach them via phone at (937) 223-1781. The mailing address for Wellness Card Llc is 1320 Woodman Dr, Dayton, Ohio and phone number is (937) 223-1781.

Wellness Card Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1558678151. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (937) 223-1781.

Contact Information

Wellness Card Llc
1320 Woodman Dr
Dayton
OH 45432-3497
(937) 223-1781
(937) 424-8656

Map and Direction


Mental Health Clinic Profile

Full NameWellness Card Llc
SpecialityClinic/Center
Location1320 Woodman Dr, Dayton, Ohio
Authorized Official Name and PositionJeffrey Frank Kolaczkowski (OWNER/DIRECTOR)
Authorized Official Contact9372231781
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wellness Card Llc
1320 Woodman Dr
Dayton
OH 45432-3497

Ph: (937) 223-1781
Wellness Card Llc
1320 Woodman Dr
Dayton
OH 45432-3497

Ph: (937) 223-1781

NPI Details:

NPI Number1558678151
Provider Enumeration Date09/03/2010
Last Update Date09/03/2010

Medicare PECOS Information:

Medicare PECOS PAC ID6800078791
Medicare Enrollment IDO20110314001091

Medical Identifiers

Medical identifiers for Wellness Card Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558678151NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wellness Card Llc acts as a billing entity for following providers:
Provider NameKenneth D Glass
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1417934340
PECOS PAC ID: 7315996949
Enrollment ID: I20050201000467
Provider NameJeffrey Frank Kolaczkowski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821070137
PECOS PAC ID: 2961316989
Enrollment ID: I20050714001092
Provider NameDarshan Singh Sehbi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851370696
PECOS PAC ID: 4981634219
Enrollment ID: I20050817000073
Provider NameSandra Harewood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063685014
PECOS PAC ID: 2769543800
Enrollment ID: I20081208000107
Provider NameCharles L Walters
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598745556
PECOS PAC ID: 4486779766
Enrollment ID: I20100909000721
Provider NameShirlann D Knight
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982810198
PECOS PAC ID: 4082874474
Enrollment ID: I20120321000796
Provider NameDarrell M Guest
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609853753
PECOS PAC ID: 4082869342
Enrollment ID: I20130313000123
Provider NameCindy J Michael
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609100973
PECOS PAC ID: 5597909457
Enrollment ID: I20130913000579
Provider NameEpie Ajebe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861729071
PECOS PAC ID: 3072745413
Enrollment ID: I20140416002513
Provider NameSimran Sehbi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215958582
PECOS PAC ID: 8224339601
Enrollment ID: I20151209002523
Provider NameEmily A Porter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548524077
PECOS PAC ID: 8628234598
Enrollment ID: I20160105002220
Provider NameMerope Patterson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013355965
PECOS PAC ID: 6901108125
Enrollment ID: I20160105002519
Provider NameKelly K Ryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134675192
PECOS PAC ID: 6608156716
Enrollment ID: I20161207001519
Provider NameObed C Anya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245529957
PECOS PAC ID: 1153745062
Enrollment ID: I20200724002071
Provider NameLisa Goecke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427772821
PECOS PAC ID: 2769857986
Enrollment ID: I20230331000602
Provider NameKimberly L Swartz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497425169
PECOS PAC ID: 7113384975
Enrollment ID: I20230609000447
Provider NameDiana Schultz
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1578549952
PECOS PAC ID: 2264879386
Enrollment ID: I20240326000714
Provider NameAudrey Violand
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710965546
PECOS PAC ID: 9234576299
Enrollment ID: I20240326002424

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.