| Ms Stephanie Elizabeth Nicholls, PA-C | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 395-6665 | |
| Not Available |
| Full Name | Ms Stephanie Elizabeth Nicholls |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 3535 Southern Blvd, Kettering, 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 |
|---|---|---|---|
| 1104437425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 50.006553RX (Ohio) | Primary |
| 208M00000X | Hospitalist | 50.006553RX (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Medical Center | Kettering, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 577 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie Elizabeth Nicholls, PA-C 1573 Beaver Ridge Dr, Kettering, OH 45429-4005 Ph: (937) 903-3471 | Ms Stephanie Elizabeth Nicholls, PA-C 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-6665 |
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 |