Dr Stanley Titang Tibong, DNP | |
30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | |
(937) 208-4200 | |
Not Available |
Full Name | Dr Stanley Titang Tibong |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 30 E Apple St Ste 5254a, Dayton, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871825497 | NPI | - | NPPES |
0094838 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN. 344514 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | APRN.CNP.15133 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Atrium Medical Center | Franklin, OH | Hospital |
Miami Valley Hospital | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Health Specialists Inc | 5597708594 | 390 |
Entity Name | Premier Health Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
Mailing Address | Practice Location Address |
---|---|
Dr Stanley Titang Tibong, DNP 6626 Woodland Trace Ct, Liberty Twp, OH 45044-9172 Ph: (513) 382-4927 | Dr Stanley Titang Tibong, DNP 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 Ph: (937) 208-4200 |
David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603 | |
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770 | |
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949 | |
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861 | |
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 | |
Mr. Kenneth Levi Moore Iii, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5981 Far Hills Ave, Dayton, OH 45429 Phone: 937-438-5954 |