| Anna Ketcham, | |
|
3572 Dayton Xenia Rd, Suite 105, Beavercreek, OH 45432-2886 | |
| (937) 427-4600 | |
| Not Available |
| Full Name | Anna Ketcham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 3572 Dayton Xenia Rd, Beavercreek, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669859229 | NPI | - | NPPES |
| 000000966352 | Other | OH | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA.17080-NP (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatologists Of Southwestern Ohio, Llc | 7113973041 | 84 |
| Entity Name | Dermatologists Of Southwestern Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801819883 PECOS PAC ID: 7113973041 Enrollment ID: O20050323001436 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Ketcham, 3572 Dayton-xenia Rd., Ste. 105, Beavercreek, OH 45432-2838 Ph: (937) 427-4600 | Anna Ketcham, 3572 Dayton Xenia Rd, Suite 105, Beavercreek, OH 45432-2886 Ph: (937) 427-4600 |
Carrie Steward, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431 Phone: 937-782-8103 | |
Jessica Lynn Ullery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623 | |
Mrs. Theresa Marie Borchers, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-4280 | |
Laura Busteed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270 | |
Sheryl Spires, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-558-3067 | |
Gregory David Bellanca, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200 Fax: 937-245-7999 | |
Yolonda M Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd. Suite 160, Beavercreek, OH 45431 Phone: 937-426-0049 Fax: 937-431-8140 |