Jennifer D Malek, CNS,BC | |
5350 Lamme Rd, Moraine, OH 45439-3215 | |
(937) 534-4651 | |
(937) 534-4669 |
Full Name | Jennifer D Malek |
---|---|
Gender | Female |
Speciality | Certified Clinical Nurse Specialist (cns) |
Experience | 30 Years |
Location | 5350 Lamme Rd, Moraine, 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 |
---|---|---|---|
1861659039 | NPI | - | NPPES |
0052850 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364S00000X | Clinical Nurse Specialist | NS01078 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grandview And Southview Hospitals | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kettering Independent Medical Group Inc | 3173710936 | 577 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Kettering Independent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Mailing Address | Practice Location Address |
---|---|
Jennifer D Malek, CNS,BC 3535 Pentagon Blvd Ste 230, Beavercreek, OH 45431-1705 Ph: (855) 500-2873 | Jennifer D Malek, CNS,BC 5350 Lamme Rd, Moraine, OH 45439-3215 Ph: (937) 534-4651 |
Kristina Fisher, MSN,CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1579 | |
Ms. Ladonna J Ross, C.N.S. Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 |