| Justin Stafford, PA-C | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 395-6020 | |
| (937) 522-7873 |
| Full Name | Justin Stafford |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 3535 Southern Blvd, Kettering, 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 |
|---|---|---|---|
| 1083168454 | NPI | - | NPPES |
| 0181657 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.004770RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Medical Center | Kettering, OH | Hospital |
| Soin Medical Center | Beaver creek, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Network Radiologists Inc | 7618960303 | 67 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Stafford, PA-C 3533 Southern Blvd, Suite 2100, Kettering, OH 45429-1264 Ph: (937) 395-8556 | Justin Stafford, PA-C 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-6020 |
Milena Menchaca, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Annabeth Pruett Barry, PA-C, MBA Physician Assistant Medicare: Medicare Enrolled Practice Location: 424 E Stroop Rd Unit B, Kettering, OH 45429 Phone: 937-562-2300 Fax: 937-562-2302 | |
Miss Kathryn Paige Schwendler, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Michael D Kelley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Marie Therese Mualla Oram, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Mr. David Evans, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd Ste 2250, Kettering, OH 45429 Phone: 937-534-0330 Fax: 937-522-8995 | |
Julie C Williams, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 |