| Ms Kathy Jo Bennett, NP | |
|
1 Wyoming St, Dayton, OH 45409-2722 | |
| (937) 208-8000 | |
| Not Available |
| Full Name | Ms Kathy Jo Bennett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1 Wyoming St, Dayton, 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 |
|---|---|---|---|
| 1871887463 | NPI | - | NPPES |
| 201069120 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 279294 (Ohio) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 71003950A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Miami Valley Emergency Specialists, Llc | 9537064183 | 91 |
| Entity Name | Miami Valley Emergency Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821189085 PECOS PAC ID: 9537064183 Enrollment ID: O20031205000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathy Jo Bennett, NP 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-8000 | Ms Kathy Jo Bennett, NP 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-8000 |
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: 937-641-3000 | |
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 |