| Weller Health Transitions | |
|
1930 N Lakeman Dr Suite 109 Bellbrook OH 45305-1239 | |
| (937) 203-3079 | |
| (937) 886-6609 |
| Full Name | Weller Health Transitions |
|---|---|
| Speciality | Family Medicine |
| Location | 1930 N Lakeman Dr, Bellbrook, Ohio |
| Authorized Official Name and Position | Christine Weller (OWNER) |
| Authorized Official Contact | 9372033079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weller Health Transitions Po Box 751595 Dayton OH 45475-1595 Ph: (937) 203-3079 | Weller Health Transitions 1930 N Lakeman Dr Suite 109 Bellbrook OH 45305-1239 Ph: (937) 203-3079 |
| NPI Number | 1922475151 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 04/10/2017 |
| Medicare PECOS PAC ID | 2567771041 |
|---|---|
| Medicare Enrollment ID | O20151023000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922475151 | NPI | - | NPPES |
| 0147885 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34006682 (Ohio) | Primary |
| Provider Name | Christine B Weller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811953318 PECOS PAC ID: 3476688367 Enrollment ID: I20100317000497 |
| Provider Name | Nicholas Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144679937 PECOS PAC ID: 1052605177 Enrollment ID: I20160811001220 |
| Provider Name | Amy M Bolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821441833 PECOS PAC ID: 0446547053 Enrollment ID: I20160926001974 |
| Provider Name | Angela Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669921771 PECOS PAC ID: 8527346683 Enrollment ID: I20161025002250 |
| Provider Name | Eric A Bletzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821398777 PECOS PAC ID: 7416223128 Enrollment ID: I20171025001009 |
| Provider Name | Jessica Lynn Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699317610 PECOS PAC ID: 0840624193 Enrollment ID: I20191219002872 |
| Provider Name | Gretchen Elaine Mogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962037382 PECOS PAC ID: 4183045891 Enrollment ID: I20200605000243 |
| Provider Name | Janna Quiling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649767740 PECOS PAC ID: 9436573292 Enrollment ID: I20200727001595 |
Bellbrook Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4336 W Franklin St, Bellbrook, OH 45305 Phone: 937-848-4141 Fax: 937-848-8523 | |
Kolodzik Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 Paxon Ct, Bellbrook, OH 45305 Phone: 937-825-6220 |